| Enabled Hearth | |
|
3523 Se Long St Topeka KS 66605-2443 | |
| (785) 267-7245 | |
| Not Available |
| Full Name | Enabled Hearth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3523 Se Long St, Topeka, Kansas |
| Authorized Official Name and Position | Janice A Duran (OWNER) |
| Authorized Official Contact | 7852677245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enabled Hearth 3523 Se Long St Topeka KS 66605-2443 Ph: (785) 267-7245 | Enabled Hearth 3523 Se Long St Topeka KS 66605-2443 Ph: (785) 267-7245 |
| NPI Number | 1922437367 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922437367 | NPI | - | NPPES |
| 200264860A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 200264860A (Kansas) | Primary |
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