Organization
GEMINI LIFE ENRICHMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN K CARLSON RN-BC (OWNER/OPERATOR)
(785) 820-1601
Entity
Organization
Contact information
Practice address
224 S 1ST ST, LINDSBORG, KS 67456-2604
(785) 820-1601
Mailing address
431 N MAIN ST, LINDSBORG, KS 67456-1807
(785) 820-1601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200717390A
—
KS
Enumeration date
01/07/2019
Last updated
01/07/2019
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