Organization
BIG LAKES DEVELOPMENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KORENEK (VP FOR ADMIN & FINANCE)
(785) 776-9201
Entity
Organization
Contact information
Practice address
1416 HAYES DR, MANHATTAN, KS 66502-5066
(785) 776-9201
(785) 776-9830
Mailing address
1416 HAYES DR, MANHATTAN, KS 66502-5066
(785) 776-9201
(785) 776-9830
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KS
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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