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Organization

MALOTTE CARE PROVIDER SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND LAWRENCE MALOTTE (DIRECTOR)
(913) 888-0878
Entity
Organization

Contact information

Practice address
13220 W 91ST TER, LENEXA, KS 66215-3679
(913) 888-0878
Mailing address
13220 W 91ST TER, LENEXA, KS 66215-3679

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
32090000X
KS

Other

Enumeration date
10/08/2013
Last updated
10/08/2013
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