COMMUNITY CONNECTION LLC NPI 1407283583

NPI Information

COMMUNITY CONNECTION, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Olathe, KS. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNITY CONNECTION, LLC NPI is 1407283583. The provider is registered as an organization entity type.

The provider's business location address is:

11300 W 175TH ST
OLATHE, KS
ZIP 66062-468
Phone: (913) 851-2617
Fax: (913) 851-2617

The provider's authorized official is Marcelyn Roe .
The authorized official title is Owner/director and has the following contact phone number (913) 851-2617.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.

Taxonomy Codes

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Other Identifiers

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