Organization
ALDERSGATE VILLAGE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NEY (CEO)
(785) 478-9440
Entity
Organization
Contact information
Practice address
7220 SW ASBURY DR, TOPEKA, KS 66614-4706
(785) 286-7474
(785) 478-1726
Mailing address
7220 SW ASBURY DR, TOPEKA, KS 66614-4706
(785) 286-7474
(785) 478-1726
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
A-089-008
KS
253Z00000X
In Home Supportive Care Agency
Primary
A-089-008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-089-008
LICENSED HOME HEALTH AGENCY BY THE STATE OF KANSAS
KS
Enumeration date
12/02/2010
Last updated
12/02/2010
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