Individual
MRS. JOYCE ANN MALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
1036 2200TH ST, IOLA, KS 66749-3085
(620) 365-6033
(620) 365-6033
Mailing address
1036 2200TH ST, IOLA, KS 66749-3085
(620) 365-6033
(620) 365-6033
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
—
00101017490
—
KS
Enumeration date
03/13/2014
Last updated
03/31/2014
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