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Organization

EQUAL INDEPENDENCE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANE E YOCUM (OWNER)
(620) 412-2820
Entity
Organization

Contact information

Practice address
112 W 6TH AVE, EMPORIA, KS 66801-4067
(620) 412-2820
(620) 412-9827
Mailing address
1402 W 18TH AVE, EMPORIA, KS 66801-5652
(620) 412-2820
(620) 412-9827

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201090070A
KS
Enumeration date
01/22/2018
Last updated
01/22/2018
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