Organization
INDEPENDENCE INC. PASS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ALANE ENYART (EXECUTIVE DIRECTOR)
(785) 841-0333
Entity
Organization
Contact information
Practice address
2001 HASKELL AVE, LAWRENCE, KS 66046
(785) 841-0333
(785) 841-1094
Mailing address
2001 HASKELL AVE, LAWRENCE, KS 66046
(785) 841-0333
(785) 841-1094
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008680B
—
KS
05
—
100077780B
—
KS
05
—
100077780C
—
KS
05
—
200462070A
—
KS
05
—
200462070B
—
KS
05
—
200462070C
—
KS
Enumeration date
05/10/2007
Last updated
02/20/2014
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