Organization
WHOLE AND ACTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT M BOSLEY (PRESIDENT)
(913) 710-1406
Entity
Organization
Contact information
Practice address
7915 WESTGATE CT, LENEXA, KS 66215-2660
(913) 710-1406
Mailing address
7915 WESTGATE CT, LENEXA, KS 66215-2660
(913) 710-1406
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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