Organization
SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER, INC.
Active
Other names
Independent Strides Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARINA LANE (ADMINISTRATOR)
(620) 423-3328
Entity
Organization
Contact information
Practice address
1712 MAIN ST, PARSONS, KS 67357-3339
(620) 423-3328
Mailing address
PO BOX 259, PARSONS, KS 67357-0259
(620) 423-3328
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A050009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021850 E
—
KS
Enumeration date
01/11/2007
Last updated
02/02/2016
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