Provider Demographics
NPI:1912080482
Name:RESOURCE CENTER FOR INDEPENDENT LIVING, INC
Entity Type:Organization
Organization Name:RESOURCE CENTER FOR INDEPENDENT LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-528-3105
Mailing Address - Street 1:1137 LAING ST
Mailing Address - Street 2:PO BOX 257
Mailing Address - City:OSAGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66523-0257
Mailing Address - Country:US
Mailing Address - Phone:785-528-3105
Mailing Address - Fax:785-528-3665
Practice Address - Street 1:1137 LAING ST
Practice Address - Street 2:
Practice Address - City:OSAGE CITY
Practice Address - State:KS
Practice Address - Zip Code:66523-1635
Practice Address - Country:US
Practice Address - Phone:785-528-3105
Practice Address - Fax:785-528-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health