Organization
LIVING INDEPENDENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE D DYE (OWNER/TARGET CASE MANAGER)
(316) 251-1369
Entity
Organization
Contact information
Practice address
706 N BIRCH ST, CIMARRON, KS 67835
(316) 251-1369
(620) 855-2221
Mailing address
P.O. BOX 328, 706 N BIRCH ST, CIMARRON, KS 67835-0328
(316) 251-1369
(620) 855-2221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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