Gametime Living Llc.

NPI 1003241779 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1003241779
Enumeration Date 09/12/2013
Last Updated 09/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JERRY L JERRY
Position OWNER
Phone (785) 806-6739
Fax
Practice Location
1501 S KANSAS AVE
TOPEKA KS, 66612-1304, US
Phone (785) 806-6739
Fax
Business Location
1501 S KANSAS AVE
TOPEKA KS, 66612-1304, US
Phone (785) 806-6739
Fax
Toxanomy
Taxonomy Code 320900000X
License State Kansas
License Number 200679800A
Remove 1003241779 NPI Number
 

According to our database, Gametime Living Llc. NPI is 1003241779, taxonomy code is 320900000X and license number is 200679800A, license state is located at Kansas. Gametime Living Llc. physically located at 1501 S Kansas Ave, Topeka KS, 66612-1304. NPI Number 1033115704 has the healthcare provider type.

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1003241779 NPI number is provided on an as is basis without warranty of any kind. 1003241779 is maintained by the National Plan & Provider Enumeration System. The contents of Gametime Living Llc. are for informational purposes only.