Organization
THE SWEET LIFE AT SHAWNEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY JOHNSON RN (EXECUTIVE DIRECTOR)
(913) 248-1500
Entity
Organization
Contact information
Practice address
11400 W 65TH ST, SHAWNEE, KS 66203-5555
(913) 248-1500
(913) 248-0030
Mailing address
11400 W 65TH ST, SHAWNEE, KS 66203-5555
(913) 248-1500
(913) 248-0030
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
NO46053
KS
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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