Aline Boutz, CPTA

Individual provider Active NPI Assisted Living Facility · Topeka, KS

NPI 1013248558 · NPPES record last updated Jan 22, 2010

Key facts

NPI
1013248558
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
License
14-00620 (KS)
Practice address
7720 SW Asbury Dr
Topeka, KS 66614
Phone
(785) 478-9440
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-00620KSMDAssisted Living Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 14-00620 KS Yes

Addresses

Primary practice location

7720 SW Asbury Dr
Topeka, KS 66614

Mailing address

3210 NW Sosiva LN
Topeka, KS 66617-1132
Phone (785) 246-2375

Other providers in Topeka, KS

All providers in Topeka, KS · Assisted Living Facility in Kansas

Sources for this page

Verify at the official NPI Registry.