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Shady Cottage
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Belleville, Kansas
NPI 1700212248

Shady Cottage is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Belleville, KS. Shady Cottage practices in Belleville, KS. The NPI Number for Shady Cottage is 1700212248 and holds a License No. (Kansas).

The current practice location address for Shady Cottage is 1411 17Th St, Belleville, KS and can be reached out via phone at 785-527-2650.

Location: 1411 17Th St, Belleville, KS, 66935-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700212248
Provider Name
Shady Cottage
Credential
Provider Entity Type
Organization
Address
1411 17Th St, Belleville, KS, 66935-1801
Phone Number
785-527-2650
Fax Number
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200688530B 01 KS KMAP ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1411 17Th St
City
Belleville
State
Kansas
Zip
66935-3028
Phone Number
785-527-2650
Fax Number
person
Provider Business Mailing Address Details
Address
1411 17Th St
City
Belleville
State
Kansas
Zip
66935-3028
Phone Number
785-527-2650
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
320900000X
License No.
(Kansas)
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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