# EXTRAVAGANT CARE

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

## Provider details

- **NPI number:** 1821282765
- **Authorized official:** MRS. PARIS COLEY (ADMINISTRATOR)
- **Authorized official phone:** (316) 616-4508

## Contact information

- **Practice address:** 4301 EAST HARRY STREET, WICHITA, KS 67218
- **Practice address phone:** (316) 616-4508
- **Mailing address:** PO BOX 780898, WICHITA, KS 67278-0898

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 09/04/2007