Organization
ROYAL CHARIOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BACCI (OWNER)
(316) 771-7318
Entity
Organization
Contact information
Practice address
3825 E HARRY ST, WICHITA, KS 67218-3722
(316) 771-7318
(316) 771-7319
Mailing address
3825 E HARRY ST, WICHITA, KS 67218-3722
(316) 771-7318
(316) 771-7319
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
200588460B
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200588460B
KMAP
KS
Enumeration date
03/01/2010
Last updated
03/01/2010
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