Organization
IN-HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIMINA NJAU TUBEI (CARE MANAGER)
(913) 265-2729
Entity
Organization
Contact information
Practice address
13503 BLACKFISH PKWY, SHAWNEE, KS 66216-5533
(913) 265-2729
(913) 426-9122
Mailing address
13503 BLACKFISH PKWY, SHAWNEE, KS 66216-5533
(913) 265-2729
(913) 426-9122
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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