SHAD FORESIDE

TOPEKA, KS
NPI1558122200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: KS  150373)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
SHAD FORESIDE
2200 SW GAGE BLVD
TOPEKA, KS 66620-0001
Phone number: 785-350-3111
Mailing Address
SHAD FORESIDE
PO BOX 4073
TOPEKA, KS 66604-0073
Phone number:
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