Organization
COUNTRY CARE RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE ANN MALEY (PROVIDER)
(620) 365-6033
Entity
Organization
Contact information
Practice address
11 HOLIDAY CT, IOLA, KS 66749-1515
(620) 228-8316
(620) 365-6033
Mailing address
1036 2200TH ST, IOLA, KS 66749-3085
(620) 365-6033
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720405582
—
KS
Enumeration date
03/18/2014
Last updated
03/31/2014
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