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1144457557
MY SACRED HOME II, LLC
WICHITA, KS
NPI
1144457557
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Entity Type
Organization
Authorized Contact
JESSICA MANZANO
Billing And Coding Manager
316-440-4820
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2009-06-12
Last Update Date
2009-06-12
Business Address
MY SACRED HOME II, LLC
7829 E ROCKHILL ST STE 406
WICHITA, KS 67206-3915
Phone number: 316-440-4820
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Mailing Address
MY SACRED HOME II, LLC
7829 E ROCKHILL ST STE 406
WICHITA, KS 67206-3915
Phone number: 316-440-4820
Copy
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