Organization
GOOD SHEPHERD HOMECARE & HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA J NOLTE (EXECUTIVE DIRECTOR)
(785) 537-0688
Entity
Organization
Contact information
Practice address
3801 VANESTA DR, MANHATTAN, KS 66503-0316
(785) 537-0688
(785) 537-1309
Mailing address
3801 VANESTA DR, MANHATTAN, KS 66503-0316
(785) 537-0688
(785) 537-1309
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A081002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221180A
—
KS
01
—
249
BLUE CROSS BLUE SHIELD
KS
Enumeration date
12/21/2005
Last updated
04/07/2023
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