# WICHITA ATTENDANT CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639585342
- **Authorized official:** CORTEZ NELSON (MEMBER)
- **Authorized official phone:** (316) 409-4033

## Contact information

- **Practice address:** 2251 S GLENDALE ST, WICHITA, KS 67218-5117
- **Practice address phone:** (316) 409-4033
- **Mailing address:** 2251 S GLENDALE ST, WICHITA, KS 67218-5117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A-087-166 | KS | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014