Doctor Name: | MRS. ALINE BOUTZ |
NPI Number: | 1013248558 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPTA |
License Number: | 14-00620 |
Business Practice Address: | 7720 Sw Asbury Dr Topeka, KS - 66614 |
Business Phone Number: | 7854789440 |
Business Fax Number: | |
Mailing Address: | 3210 Nw Sosiva Ln, TOPEKA |
State: | KS |
Postal Code: | 666171132 |
Phone Number: | 7852462375 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 14-00620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |