# PROVIDENCE HOME HEALTH & HOSPICE LLC

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

## Provider details

- **NPI number:** 1962827170
- **Authorized official:** MRS. CECILIA J WAMBUGU-DAVIS (ADMINISTRATOR)
- **Authorized official phone:** (316) 558-5956

## Contact information

- **Practice address:** 9415 E HARRY ST STE 703, WICHITA, KS 67207
- **Practice address phone:** (316) 992-8578
- **Practice address fax:** (316) 558-5956
- **Mailing address:** 9415 E HARRY ST STE 703, WICHITA, KS 67207-5084
- **Mailing address phone:** (316) 558-5956
- **Mailing address fax:** (316) 558-5948

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2014
- **Last updated:** 01/24/2023