Organization
LIFE CENTERS OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ANN DALTON (OWNER)
(913) 634-0783
Entity
Organization
Contact information
Practice address
10914 W 143RD TER, OVERLAND PARK, KS 66221-8154
(913) 634-0783
Mailing address
15504 GLENWOOD AVE, OVERLAND PARK, KS 66223-3183
(913) 634-0783
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542890A
—
KS
Enumeration date
07/06/2009
Last updated
07/06/2009
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