Organization
MCSHAW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN I HONG (OWNER)
(785) 550-2733
Entity
Organization
Contact information
Practice address
2904 CRESTLINE DR, LAWRENCE, KS 66047-3065
(785) 550-2733
Mailing address
2904 CRESTLINE DR, LAWRENCE, KS 66047-3065
(785) 550-2733
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
100415620A
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100415620A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100415620A
—
KS
Enumeration date
12/04/2013
Last updated
12/04/2013
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