DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC.
Intermediate Care Facility, Mentally Retarded
Norton, Kansas
Provider NPI: 1952378606
Organization Information:Organization Name: DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC.
Practice Location:
1113 EISENHOWER DR NORTON, KS 67654 US
Tel: 785-625-5678 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1113 EISENHOWER DR NORTON, KS 67654 US
Tel: 785-625-5678 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
TITLE XIX | 100006940D | KS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin