Organization
DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD L. MICHAUD (PRESIDENT)
(785) 625-5678
Entity
Organization
Contact information
Practice address
1113 EISENHOWER DR, NORTON, KS 67654-1127
(785) 625-5678
(785) 625-8204
Mailing address
2703 HALL ST, SUITE 10, HAYS, KS 67601-1964
(785) 625-5678
(785) 625-8204
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100006940D
TITLE XIX
KS
Enumeration date
03/01/2006
Last updated
11/20/2015
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