Provider Demographics
NPI:1598978066
Name:INDIVIDUAL ADVOCACY LLC
Entity Type:Organization
Organization Name:INDIVIDUAL ADVOCACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALON
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARBERT
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:316-613-3990
Mailing Address - Street 1:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-0563
Mailing Address - Country:US
Mailing Address - Phone:316-613-3990
Mailing Address - Fax:316-613-3316
Practice Address - Street 1:837 N ANDOVER RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9561
Practice Address - Country:US
Practice Address - Phone:316-613-3990
Practice Address - Fax:316-613-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management