Individual
MR. THATCHER HORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 W MAPLE CT, ROSSVILLE, KS 66533-9783
(785) 260-1532
Mailing address
507 W MAPLE CT, ROSSVILLE, KS 66533-9783
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Enumeration date
04/22/2024
Last updated
05/16/2024
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