Healthcare Provider Details

I. General information

NPI: 1205132776
Provider Name (Legal Business Name): OPTION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 S MAHAFFIE CIR
OLATHE KS
66062-3464
US

IV. Provider business mailing address

1445 S MAHAFFIE CIR
OLATHE KS
66062-3464
US

V. Phone/Fax

Practice location:
  • Phone: 913-393-3306
  • Fax:
Mailing address:
  • Phone: 913-393-3306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number200327130B
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number200327130A
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number200327130
License Number StateKS

VIII. Authorized Official

Name: MS. DYNEL L WOOD
Title or Position: OWNER
Credential: M.A.
Phone: 913-393-3306