Organization
FAMILY DEVELOPMENTAL SUPPORT LLC
Active
Other names
Family Developmental Support LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GOSBERT BANTURAKI (DIRECTOR)
(913) 634-9411
Entity
Organization
Contact information
Practice address
8700 MONROVIA ST, LENEXA, KS 66215-3500
(913) 634-9411
Mailing address
8700 MONROVIA ST, LENEXA, KS 66215-3500
(913) 634-9411
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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