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Shawn Minor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gardner, Kansas
NPI 1558605592

Shawn Minor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Gardner, KS. Shawn Minor practices in Gardner, KS. The NPI Number for Shawn Minor is 1558605592 and holds a License No. (Kansas).

The current practice location address for Shawn Minor is 32583 W 172Nd St, Gardner, KS and can be reached out via phone at 913-515-9719 and via fax at 913-938-4316.

Location: 32583 W 172Nd St, Gardner, KS, 66030-9220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558605592
Provider Name
Shawn Minor
Credential
Provider Entity Type
Individual
Gender
Male
Address
32583 W 172Nd St, Gardner, KS, 66030-9220
Phone Number
913-515-9719
Fax Number
913-938-4316
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
32583 W 172Nd St
City
Gardner
State
Kansas
Zip
66030-9220
Phone Number
913-515-9719
Fax Number
913-938-4316
person
Provider Business Mailing Address Details
Address
32583 W 172Nd St
City
Gardner
State
Kansas
Zip
66030-9220
Phone Number
913-515-9719
Fax Number
913-938-4316
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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