Whole and Active Living LLC

NPI #1477933802 in Lenexa, Kansas

Provider Information

NPI Number: 1477933802
Entity Type: Organization
Organization Name: Whole and Active Living LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 1, 2015
Last Updated: Jun 1, 2015

Practice Location

Address: 7915 WESTGATE CT
City: Lenexa
State: Kansas
ZIP Code: 66215-2660
Phone: (913) 710-1406

Authorized Official

Name: MR. BRETT M BOSLEY
Title: PRESIDENT
Phone: (913) 710-1406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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