Provider Demographics
NPI:1790837995
Name:TOPEKA INDEPENDENT LIVING RESOURCE CENTER
Entity Type:Organization
Organization Name:TOPEKA INDEPENDENT LIVING RESOURCE CENTER
Other - Org Name:TILRC
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMI
Authorized Official - Middle Name:
Authorized Official - Last Name:HYTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-233-4572
Mailing Address - Street 1:501 SW JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3344
Mailing Address - Country:US
Mailing Address - Phone:785-233-4572
Mailing Address - Fax:785-233-1561
Practice Address - Street 1:501 SW JACKSON ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3344
Practice Address - Country:US
Practice Address - Phone:785-233-4572
Practice Address - Fax:785-233-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies