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Organization

BMW ENTERPRISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH M BOECKNER (CEO)
(785) 625-0015
Entity
Organization

Contact information

Practice address
1340A 280TH AVE, HAYS, KS 67601-9753
(785) 625-0015
(785) 625-0015
Mailing address
1340A 280TH AVE, HAYS, KS 67601-9753
(785) 625-0015
(785) 625-0015

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
200516660A
KS
3747P1801X
Personal Care Attendant
200516660A
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200516660A
KS
Enumeration date
11/08/2007
Last updated
11/08/2007
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