Healthcare Provider Details

I. General information

NPI: 1104033422
Provider Name (Legal Business Name): TARC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 02/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 SW RANDOLPH AVE
TOPEKA KS
66611-1536
US

IV. Provider business mailing address

2701 SW RANDOLPH AVE
TOPEKA KS
66611-1536
US

V. Phone/Fax

Practice location:
  • Phone: 785-506-8701
  • Fax:
Mailing address:
  • Phone: 785-506-8701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LAURA MARPLE
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 785-506-8701