Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1295871010 |
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| LBN Legal business name | PRAIRIE INDEPENDENT LIVING RESOURCE CENTER | ||||||||||||
| Authorized official | CHRISTINE OWENS - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/29/2007 | ||||||||||||
| Last updated | 11/21/2013 - About 13 years ago | ||||||||||||
| Identifiers |
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