Organization
HOME TOWN HEALTH CARE, LLC
Active
Other names
Home Town Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA RAE SHINKLE RN (RN ADMINISTRATOR)
(620) 378-3760
Entity
Organization
Contact information
Practice address
314 N 7TH ST, FREDONIA, KS 66736-1337
(620) 378-3760
(620) 378-3765
Mailing address
314 N 7TH ST, FREDONIA, KS 66736-1337
(620) 378-3760
(620) 378-3765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A103006H
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000118441
BCBSKS
KS
05
—
00425730B
—
KS
05
—
200425730A
—
KS
Enumeration date
08/31/2006
Last updated
04/06/2021
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