Phoenix Developmental Services LLC

NPI #1740990084 in Emporia, Kansas

Provider Information

NPI Number: 1740990084
Entity Type: Organization
Organization Name: Phoenix Developmental Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 28, 2022
Last Updated: Nov 28, 2022

Practice Location

Address: 1114 EAST ST APT 2
City: Emporia
State: Kansas
ZIP Code: 66801-7103
Phone: (620) 481-7728

Authorized Official

Name: MR. ROY T LINGENFELTER
Title: OWNER-DIRECTOR
Phone: (620) 481-7728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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