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Phoenix Developmental Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Emporia, Kansas
NPI 1740990084

Phoenix Developmental Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Emporia, KS. Phoenix Developmental Services Llc practices in Emporia, KS. The NPI Number for Phoenix Developmental Services Llc is 1740990084 and holds a License No. (Kansas).

The current practice location address for Phoenix Developmental Services Llc is 1114 East St Apt 2, Emporia, KS and can be reached out via phone at 620-481-7728.

Location: 1114 East St Apt 2, Emporia, KS, 66801-5951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740990084
Provider Name
Phoenix Developmental Services Llc
Credential
Provider Entity Type
Organization
Address
1114 East St Apt 2, Emporia, KS, 66801-5951
Phone Number
620-481-7728
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1114 East St Apt 2
City
Emporia
State
Kansas
Zip
66801-7103
Phone Number
620-481-7728
Fax Number
person
Provider Business Mailing Address Details
Address
1114 East St Apt 2
City
Emporia
State
Kansas
Zip
66801-7103
Phone Number
620-481-7728
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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