Organization
JOHNSON COUNTY DEVELOPMENTAL SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA J GRAVENSTEIN (FINANCIAL MANAGER)
(913) 826-2638
Entity
Organization
Contact information
Practice address
10501 LACKMAN RD, LENEXA, KS 66219-1223
(913) 826-2626
(913) 826-2627
Mailing address
10501 LACKMAN RD, LENEXA, KS 66219-1223
(913) 826-2626
(913) 826-2627
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
KSA753307B
KS
Other
Enumeration date
04/25/2007
Last updated
03/19/2008
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