Organization
MARY ANN DVORACHEK
Active
Other names
Valiant Endeavors
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN DVORACHEK (DIRECTOR)
(620) 365-7174
Entity
Organization
Contact information
Practice address
1021 CONNECTICUT ST, LAWRENCE, KS 66044-3037
(620) 365-7174
Mailing address
1201 N KENTUCKY ST, IOLA, KS 66749-1931
(620) 365-7174
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100449780
—
KS
Enumeration date
02/24/2021
Last updated
02/24/2021
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