Organization
DCCCA, INC.
Active
Parent organization
DCCCA, INC.
Other names
DCCCA HCBS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DCCCA, INC.
Authorized official
KERYE J JACKSON CPA, CMA (CFO)
(785) 841-4138
Entity
Organization
Contact information
Practice address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Mailing address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
0047891
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047891
CHILD PLACING AGENCY LICENSE
KS
05
—
200655670S
—
KS
Enumeration date
09/20/2016
Last updated
05/29/2020
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