Provider Demographics
NPI:1275303935
Name:STEJSKAL SERVICES LLC
Entity Type:Organization
Organization Name:STEJSKAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STEJSKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-639-1667
Mailing Address - Street 1:1323 FELTEN DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2615
Mailing Address - Country:US
Mailing Address - Phone:785-639-1667
Mailing Address - Fax:
Practice Address - Street 1:1323 FELTEN DR
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2615
Practice Address - Country:US
Practice Address - Phone:785-639-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services