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Organization

HOLISTIC HOM HEALTH OF KS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NEMMY NGUGI MATIRU (MANAGING PARTNER)
(316) 295-4692
Entity
Organization

Contact information

Practice address
2621 N EDGEMOOR DR, WICHITA, KS 67220-3144
(316) 295-4692
(316) 295-4692
Mailing address
2621 N EDGEMOOR DR, WICHITA, KS 67220-3144
(316) 295-4692
(316) 295-4692

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087115
KS

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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