310 Avenue Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hays, KS
NPI 1508288754 · NPPES record last updated Jan 7, 2014
Key facts
- NPI
- 1508288754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- 310 AVENUE INC
- Practice address
- 1012 E US Highway 40 Byp
Hays, KS 67601-3961 - Phone
- (785) 623-7470
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. James L Warren
- Title
- Owner
- Phone
- (785) 623-7470
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1012 E US Highway 40 Byp
Hays, KS 67601-3961
Mailing address
PO Box 747
Hays, KS 67601-0747
Phone (785) 623-7470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100035620A | Medicaid | KS |
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- Rick Abbott
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- Anthony D Accurso
- Mark Ackerman
All providers in Hays, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.