Organization
DCCCA, INC.
Active
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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