Organization
OUTSTANDING HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY T LOWERY C.N.A (OWNER/CARE PROVIDER)
(503) 857-9712
Entity
Organization
Contact information
Practice address
2810 E 9TH ST N, 104, WICHITA, KS 67214-3233
(503) 857-9712
Mailing address
2810 E 9TH ST N, 104, WICHITA, KS 67214-3233
(503) 857-9712
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
12890Z
SC
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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