Organization
LEAVENWORTH COUNTY INFANT-TODDLER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN HERNANDEZ (DIRECTOR)
(913) 250-1111
Entity
Organization
Contact information
Practice address
300 OLIVE ST # A, LANSING, KS 66043-1642
(913) 250-1111
Mailing address
300 OLIVE ST # A, LANSING, KS 66043-1642
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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