# MY HOME CARE LLC

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

## Provider details

- **NPI number:** 1780209882
- **Authorized official:** SOMPHIEN AMPHONE RN (ADMIN/OWNER)
- **Authorized official phone:** (316) 358-9423

## Contact information

- **Practice address:** 1037 S BROADWAY AVE, WICHITA, KS 67211-2232
- **Practice address phone:** (316) 358-9423
- **Practice address fax:** (316) 358-9975
- **Mailing address:** 1037 S BROADWAY AVE, WICHITA, KS 67211-2232
- **Mailing address phone:** (316) 358-9423
- **Mailing address fax:** (316) 358-9975

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 05/27/2022
