# PEGGY KELLY HOUSE I

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

## Provider details

- **NPI number:** 1730489071
- **Authorized official:** MS. SHELLY MARIE LINDENSMITH (BUSINESS MANAGER)
- **Authorized official phone:** (785) 271-9594

## Contact information

- **Practice address:** 2111 SW RANDOLPH AVE, TOPEKA, KS 66611-1547
- **Practice address phone:** (785) 234-8888
- **Practice address fax:** (785) 234-0885
- **Mailing address:** 1800 SW FAIRMONT RD, TOPEKA, KS 66604-3699
- **Mailing address phone:** (785) 271-9594
- **Mailing address fax:** (785) 271-6638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | N089033 | KS | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 11/02/2010