Organization
JACKSON COUNTY RESOURCE CENTER
Active
Other names
Jackson County Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LINCOLN (EXECUTIVE DIRECTOR)
(785) 364-3534
Entity
Organization
Contact information
Practice address
625 VERMONT AVE, HOLTON, KS 66436-2037
(785) 364-3534
(785) 364-4848
Mailing address
625 VERMONT AVE, HOLTON, KS 66436-2037
(785) 364-3534
(785) 364-4848
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040610A
—
KS
Enumeration date
04/30/2007
Last updated
08/22/2020
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