Organization
TWIN RIVERS DEVELOPMENTAL SUPPORTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F BOYLE (CFO)
(620) 442-3575
Entity
Organization
Contact information
Practice address
22179 D STREET, STROTHER FIELD INDUSTRIAL PARK, ARKANSAS CITY, KS 67005-0133
(620) 442-3575
(620) 442-3733
Mailing address
PO BOX 133, ARKANSAS CITY, KS 67005-0133
(620) 442-3575
(620) 442-3733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362030A
—
KS
05
—
100362030B
—
KS
Enumeration date
03/19/2007
Last updated
07/23/2012
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