Organization
SP WICHITA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASSY MUGANDA (AUTHORIZED OFFICIAL)
(336) 210-3931
Entity
Organization
Contact information
Practice address
1343 N HILLSIDE ST, WICHITA, KS 67214-2548
(336) 210-3931
Mailing address
1343 N HILLSIDE ST, WICHITA, KS 67214-2548
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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