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NPI Code Detail

MEDICARE: JOLEEN M RECTOR

MEDICARE:   JOLEEN M RECTOR
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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982034971
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLEEN M RECTOR
Provider Business Mailing Address
First Line : 2852 ANDERSON RD
Second Line :
City : TOPEKA
State : KS
Zip : 66617-9223
Country : US
Telephone Number : 785-246-1208
Fax Number : 785-246-1208
Provider Business Practice Location Address
First Line : 3420 NW 49TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66618-2518
Country : US
Telephone Number : 785-246-1208
Fax Number : 785-246-1208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/12/2013

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