Organization
SOUTHEAST KANSAS BIRTH TO THREE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JUHLIN (DIRECTOR)
(620) 229-8304
Entity
Organization
Contact information
Practice address
2601 GABRIEL AVE, PARSONS, KS 67357
(620) 421-6550
(620) 421-6550
Mailing address
PO BOX 189, GIRARD, KS 66743-0189
(620) 724-6281
(620) 724-7141
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211500B
—
KS
Enumeration date
07/22/2006
Last updated
07/23/2008
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