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1558495325
CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
GARDEN CITY, KS
NPI
1558495325
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Entity Type
Organization
Authorized Contact
TROY ALAN HORTON
Executive Director
620-276-1900
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-03-15
Last Update Date
2008-09-30
Business Address
CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
1802 E SPRUCE ST
GARDEN CITY, KS 67846-6337
Phone number: 620-276-1900
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Mailing Address
CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
1802 E SPRUCE ST PO BOX 2090
GARDEN CITY, KS 67846-6337
Phone number: 620-276-1900
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