MEDICARE: ACHIEVE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	75-3307B	KS

General Provider Information

NPI Number	:	1164856662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 67024
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66667-0024
Country	:	US
Telephone Number	:	785-217-5334
Fax Number	:

Provider Business Practice Location Address
First Line	:	5646 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-217-5334
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KRISTINA LEE HANSEL
Credential	:	BA
Telephone Number	:	785-217-5334

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	09/03/2013

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Directions to “ACHIEVE SERVICES, LLC ” Practice Location

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