Healthcare Provider Details

I. General information

NPI: 1932537214
Provider Name (Legal Business Name): DOWN HOME SERVICE AND SUPPORTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 SE TECUMSEH RD
TECUMSEH KS
66542-9315
US

IV. Provider business mailing address

926 SE TECUMSEH RD
TECUMSEH KS
66542-9315
US

V. Phone/Fax

Practice location:
  • Phone: 785-379-5651
  • Fax: 785-379-9887
Mailing address:
  • Phone: 785-379-5651
  • Fax: 785-379-9887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DESSIE LEE ORTIZ
Title or Position: DIRECTOR
Credential:
Phone: 785-379-5651