Provider Demographics
NPI:1437394301
Name:CLAY COUNTY CHILD CARE CENTER
Entity Type:Organization
Organization Name:CLAY COUNTY CHILD CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HABLUETZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-632-2195
Mailing Address - Street 1:314 COURT ST
Mailing Address - Street 2:
Mailing Address - City:CLAY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67432-2420
Mailing Address - Country:US
Mailing Address - Phone:785-632-2195
Mailing Address - Fax:785-632-6229
Practice Address - Street 1:314 COURT ST
Practice Address - Street 2:
Practice Address - City:CLAY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67432-2420
Practice Address - Country:US
Practice Address - Phone:785-632-2195
Practice Address - Fax:785-632-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0000107-003252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency