Organization
SUNFLOWER DIVERSIFIED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM JOHNSON (CEO)
(620) 792-1325
Entity
Organization
Contact information
Practice address
8823 4TH ST, GREAT BEND, KS 67530-1000
(620) 792-1321
(620) 792-7409
Mailing address
8823 4TH ST, GREAT BEND, KS 67530-1000
(620) 792-1321
(620) 792-7409
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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