Organization
ADRIEL SKILLED RESIDENTIAL & DAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE LOUISE NICHOLS LICENSE PRACTICAL NU (EXECUTIVE DIRECTOR)
(913) 522-5791
Entity
Organization
Contact information
Practice address
12225 S BLACKBOB RD APT 111P, OLATHE, KS 66062-6913
(913) 732-2055
(913) 254-0550
Mailing address
501 E 125TH TER, OLATHE, KS 66061-2725
(913) 768-7414
(913) 254-0550
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
K.S.A. 75-3307B
KS
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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