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Organization
AQUARIUS HOME HEALTH
Active
Organization
AQUARIUS HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA M HOFFMAN (ADMINISTRATOR)
(316) 209-3208
Entity
Organization
Contact information
Practice address
324 W CENTRAL AVE STE D, ANDOVER, KS 67002-9616
(316) 733-2645
(316) 733-0995
Mailing address
324 W CENTRAL AVE STE D, PO BOX 906, ANDOVER, KS 67002-9616
(316) 733-2645
(316) 733-0995
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A008012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A008012
STATE ID
KS
Enumeration date
05/02/2008
Last updated
05/02/2008
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