Provider Demographics
NPI:1902586803
Name:COSPER'S DAY SERVICE L.L.C.
Entity Type:Organization
Organization Name:COSPER'S DAY SERVICE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-219-1346
Mailing Address - Street 1:932 SW WOODBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-4600
Mailing Address - Country:US
Mailing Address - Phone:785-219-1346
Mailing Address - Fax:
Practice Address - Street 1:5425 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2330
Practice Address - Country:US
Practice Address - Phone:785-408-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services