Organization
DOWN HOME SERVICE AND SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESSIE LEE ORTIZ (DIRECTOR)
(785) 379-5651
Entity
Organization
Contact information
Practice address
926 SE TECUMSEH RD, TECUMSEH, KS 66542-9315
(785) 379-5651
(785) 379-9887
Mailing address
926 SE TECUMSEH RD, TECUMSEH, KS 66542-9315
(785) 379-5651
(785) 379-9887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200592300A
—
KS
Enumeration date
10/23/2013
Last updated
10/23/2013
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