| NPI | 1386086171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRECA MARIE KELLEY Administrator/Owner 316-347-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KS 85352) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: KS 85352) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |