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ALL ABOUT YOU AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY CROOK (OWNER)
(620) 803-2271
Entity
Organization

Contact information

Practice address
332 NEOSHO ST, EMPORIA, KS 66801-4160
(620) 803-2271
Mailing address
332 NEOSHO ST, EMPORIA, KS 66801-4160

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
200641990A
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
200641990A
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200641990A
KS
Enumeration date
12/03/2013
Last updated
12/03/2013
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