Individual
JOLEEN M RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 NW 49TH ST, TOPEKA, KS 66618-2518
(785) 246-1208
(785) 246-1208
Mailing address
2852 ANDERSON RD, TOPEKA, KS 66617-9223
(785) 246-1208
(785) 246-1208
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200577100A
—
KS
Enumeration date
11/12/2013
Last updated
11/12/2013
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