Organization
UNIVEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN WOOLERY R.N. (MEMBER)
(785) 217-5999
Entity
Organization
Contact information
Practice address
1300 E 24TH ST, SEDALIA, MO 65301-8233
(660) 827-3313
Mailing address
1730 NE 54TH ST, TOPEKA, KS 66617-2623
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
043278
MO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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