Organization
JEFFREY'S LIFESTYLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGENE DIPALING (OWNER)
(785) 272-7412
Entity
Organization
Contact information
Practice address
5856 SW 28TH TER, TOPEKA, KS 66614-2424
(785) 272-7412
Mailing address
5856 SW 28TH TER, TOPEKA, KS 66614-2424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405000A
—
KS
Enumeration date
10/29/2013
Last updated
10/29/2013
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