# KAH DEVELOPMENT 4, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CenterWell Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770933798
- **Authorized official:** JOHN NICHOLS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (870) 527-2186

## Contact information

- **Practice address:** 409 W 4TH ST, BRINKLEY, AR 72021-2113
- **Practice address phone:** (870) 527-2186
- **Practice address fax:** (870) 734-1163
- **Mailing address:** 6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 11/30/2023