Shady Cottage

NPI #1700212248 in Belleville, Kansas

Provider Information

NPI Number
1700212248
Entity Type
Organization
Organization Name
Shady Cottage
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 16, 2013
Last Updated
Nov 4, 2019

Practice Location

Address
1411 17TH ST
State
Kansas
ZIP Code
66935-3028
Phone
(785) 527-2650

Authorized Official

Name
SAMANTHA JANE CLARK
Title
OWNER
Phone
(785) 527-2729

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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