=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265823116
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUNFLOWER ADULT DAY SERVICES, INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2015
-----------------------------------------------------
Last Update Date | 02/13/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 401 W IRON AVE
-----------------------------------------------------
City | SALINA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67401-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-823-6666
-----------------------------------------------------
Fax | 785-833-2329
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 W IRON AVE
-----------------------------------------------------
City | SALINA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67401-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-823-6666
-----------------------------------------------------
Fax | 785-833-2329
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MRS. MARY SUE WELLS
-----------------------------------------------------
Credential | RN, MSN
-----------------------------------------------------
Telephone | 785-823-6666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number | B085007
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------