Provider Demographics
NPI:1396890760
Name:THE ARC OF DOUGLAS COUNTY
Entity type:Organization
Organization Name:THE ARC OF DOUGLAS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-749-0121
Mailing Address - Street 1:2518 RIDGE CT
Mailing Address - Street 2:STE. 238
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4079
Mailing Address - Country:US
Mailing Address - Phone:785-749-0121
Mailing Address - Fax:785-749-0103
Practice Address - Street 1:2518 RIDGE CT
Practice Address - Street 2:STE. 238
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4079
Practice Address - Country:US
Practice Address - Phone:785-749-0121
Practice Address - Fax:785-749-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management