Organization
MY MOTHER'S DAUGHTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LUTTJOHANN (EXECUTIVE DIRECTOR)
(785) 430-1709
Entity
Organization
Contact information
Practice address
212 SW COURTLAND AVE, TOPEKA, KS 66606-1269
(785) 430-1709
Mailing address
212 SW COURTLAND AVE, TOPEKA, KS 66606-1269
(785) 430-1709
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
9305
KS
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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