Organization
LIFE PATTERNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS P GERDEL (EXECUTIVE DIRECTOR)
(785) 273-7189
Entity
Organization
Contact information
Practice address
3625 SW 29TH ST, SUITE 202, TOPEKA, KS 66614-2061
(785) 273-7189
(785) 273-3816
Mailing address
3625 SW 29TH ST, SUITE 202, TOPEKA, KS 66614-2061
(785) 273-7189
(785) 273-3816
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033260B
—
KS
Enumeration date
04/16/2008
Last updated
04/16/2008
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