institution
Mary Ann Dvorachek
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lawrence, Kansas
NPI 1497349039

Mary Ann Dvorachek is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Iola, KS. Mary Ann Dvorachek practices in Lawrence, KS. The NPI Number for Mary Ann Dvorachek is 1497349039 and holds a License No. (Kansas).

The current practice location address for Mary Ann Dvorachek is 1021 Connecticut St, Lawrence, KS and can be reached out via phone at 620-365-7174.

Location: 1021 Connecticut St, Lawrence, KS, 66749-1931
institution
Provider Profile Details
NPI Number
1497349039
Provider Name
Mary Ann Dvorachek
Credential
Provider Entity Type
Organization
Address
1021 Connecticut St, Lawrence, KS, 66749-1931
Phone Number
620-365-7174
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100449780 05 KS
institution
Provider Business Practice Location Address Details
Address
1021 Connecticut St
City
State
Zip
66044-3037
Phone Number
620-365-7174
Fax Number
person
Provider Business Mailing Address Details
Address
1021 Connecticut St
City
State
Zip
66044-3037
Phone Number
620-365-7174
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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