Organization
ASPIE LIFE ADVENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LEE ANKENMAN (OWNER)
(620) 669-9863
Entity
Organization
Contact information
Practice address
912 W 18TH AVE, HUTCHINSON, KS 67502-4140
(620) 259-6171
Mailing address
2002 E 35TH AVE, HUTCHINSON, KS 67502-1353
(620) 669-9863
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200970100A
—
KS
Enumeration date
10/15/2013
Last updated
10/15/2013
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