Organization
LAKEMARY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ERICKSON (CFO)
(913) 557-4000
Entity
Organization
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Mailing address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
KS
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029130B
—
KS
Enumeration date
02/17/2006
Last updated
05/06/2025
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