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Organization

MY SACRED HOME, LLC

Active
Other names
My Sacred Home Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA L MANZANO (BILLING AND CODING MANAGER)
(316) 440-4820
Entity
Organization

Contact information

Practice address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
(316) 440-4820
(316) 440-4851
Mailing address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
(316) 440-4820
(316) 440-4851

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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