| NPI | 1871978155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANA LYNE EBY Owner/Governing Body 620-308-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KS A019008) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |