Organization
THE IVY FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN MARQUEZ DURAN JR. (CEO/PRESIDENT)
(816) 401-4124
Entity
Organization
Contact information
Practice address
2040 BIRCH ST, ATCHISON, KS 66002-2146
(816) 401-4124
Mailing address
2040 BIRCH ST, ATCHISON, KS 66002-2146
(816) 401-4124
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
07/04/2024
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