Provider Demographics
NPI:1891136800
Name:WESTERN KANSAS ASSOCIATION ON THE CONCERNS OF THE DISABLED
Entity Type:Organization
Organization Name:WESTERN KANSAS ASSOCIATION ON THE CONCERNS OF THE DISABLED
Other - Org Name:WKACD
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-621-2315
Mailing Address - Street 1:205 E 7TH ST
Mailing Address - Street 2:STE 19
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-4907
Mailing Address - Country:US
Mailing Address - Phone:785-621-2315
Mailing Address - Fax:785-261-0264
Practice Address - Street 1:205 E 7TH ST
Practice Address - Street 2:STE 19
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4907
Practice Address - Country:US
Practice Address - Phone:785-621-2315
Practice Address - Fax:785-261-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management