Organization
AUSPISION
Active
Organization
AUSPISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY T LINGENFELTER (ADMINISTRATOR)
(620) 343-3685
Entity
Organization
Contact information
Practice address
1211 STANTON ST, EMPORIA, KS 66801-6158
(620) 343-3658
(620) 342-1950
Mailing address
1211 STANTON ST, EMPORIA, KS 66801-6158
(620) 343-3658
(620) 342-1950
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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