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Organization
PROACTIVE HOME CARE, LLC
Active
Organization
PROACTIVE HOME CARE, LLC
Active
Other names
Phoenix Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARBERRY (CCO)
(903) 390-4040
Entity
Organization
Contact information
Practice address
3450 N ROCK ROAD, BUILDING 200, SUITE 213, WICHITA, KS 67226-1352
(316) 688-5511
(316) 688-1081
Mailing address
3450 N ROCK ROAD, BUILDING 200, SUITE 213, WICHITA, KS 67226-1352
(316) 688-5511
(316) 688-1081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087055
KS
Other
Enumeration date
04/05/2006
Last updated
09/16/2024
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