KANSAS NEUROLOGICAL INSTITUTE NPI 1518012673

NPI Information

KANSAS NEUROLOGICAL INSTITUTE is an intermediate care facility mentally retarded in Topeka, KS. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. KANSAS NEUROLOGICAL INSTITUTE NPI is 1518012673. The provider is registered as an organization entity type.

The provider's business location address is:

3107 SW 21ST
TOPEKA, KS
ZIP 66604-245
Phone: (785) 296-5301
Fax: (785) 296-0707

The provider's authorized official is Brent Widick .
The authorized official title is Superintendent and has the following contact phone number (785) 296-5301.

The CLIA number assigned to this NPI record is 17D0949347 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 1/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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