Provider Demographics
NPI:1952638389
Name:LEGACY CASE SERVICES
Entity Type:Organization
Organization Name:LEGACY CASE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MCFARREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-722-5334
Mailing Address - Street 1:PO BOX 9371
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67277-0371
Mailing Address - Country:US
Mailing Address - Phone:316-722-5334
Mailing Address - Fax:316-722-3302
Practice Address - Street 1:13810 W HARDTNER CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67235-7536
Practice Address - Country:US
Practice Address - Phone:316-722-5334
Practice Address - Fax:316-722-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management