Organization
ELIZABETH EASTES
Active
Other names
Full Circle
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH EASTES (ADMINISTRATOR)
(316) 259-6611
Entity
Organization
Contact information
Practice address
425 SANTA FE ST, HALSTEAD, KS 67056-2131
(316) 259-6611
Mailing address
425 SANTA FE ST, HALSTEAD, KS 67056-2131
(316) 259-6611
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200739110A
—
KS
Enumeration date
06/24/2013
Last updated
06/24/2013
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