| NPI | 1144455312 |
|---|---|
| Doing Business As | MY SACRED HOME HOSPICE |
| Entity Type | Organization |
| Authorized Contact | JESSICA L MANZANO Billing And Coding Manager 316-440-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |