Kisa Life Recovery, LLC

NPI #1598275505 in Sedan, Kansas

Provider Information

NPI Number
1598275505
Entity Type
Organization
Organization Name
Kisa Life Recovery, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Oct 4, 2017
Last Updated
Jun 20, 2018

Practice Location

Address
865 STATE HIGHWAY 99
City
Sedan
State
Kansas
ZIP Code
67361-8501
Phone
(620) 710-5058

Authorized Official

Name
KIMBERLY JONES
Title
OWNER
Phone
(620) 710-5058

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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