Organization · Type 2 NPI

Mary Ann Dvorachek

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lawrence, KS

NPI number 1497349039 Active

Practice location

1021 Connecticut St
Lawrence, KS 66044-3037

Call (620) 365-7174 Map

Mailing address

1201 N Kentucky St
Iola, KS 66749-1931

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1497349039

Mary Ann Dvorachek's National Provider Identifier is 1497349039, issued on Feb 24, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lawrence, KS. The record was last updated on Feb 24, 2021.