Center for Independent Living Southwest Kansas
NPI #1558495325 in Garden City, Kansas
Provider Information
- NPI Number
- 1558495325
- Entity Type
- Organization
- Organization Name
- Center for Independent Living Southwest Kansas
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- 1802 E SPRUCE ST
- City
- Garden City
- State
- Kansas
- ZIP Code
- 67846-6337
- Phone
- (620) 276-1900
Authorized Official
- Name
- TROY ALAN HORTON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (620) 276-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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