310 Avenue INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hays, KS. Organization (NPI-2).
NPI number1508288754
StatusActive
Last updated in NPPESJan 7, 2014
Details
- NPI
- 1508288754
- Entity type
- Organization (NPI-2)
- Legal business name
- 310 Avenue INC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2014
- Last updated
- Jan 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
1012 E Us Highway 40 BypHays, KS 67601-3961
Phone 785-623-7470
Mailing address
Po Box 747Hays, KS 67601-0747
Phone 785-623-7470
Authorized official
James L Warren
Owner
7856237470
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