Organization
ALWAYS THERE HOME CARE, LLC
Active
Other names
Walter L Gibson, Member
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY GIBSON (OWNER/CEO/MANAGING MEMBER)
(620) 331-0070
Entity
Organization
Contact information
Practice address
112 N PENN AVE, INDEPENDENCE, KS 67301-3524
(620) 331-0070
(620) 331-2952
Mailing address
PO BOX 493, 112 N PENN AVE, INDEPENDENCE, KS 67301-0493
(620) 331-0070
(620) 331-2952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
16-00196
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000118142
BLUE CROSS BLUE SHIELD
KS
05
—
200003800A
—
KS
05
—
200003800B
—
KS
05
—
626360200
—
MO
Enumeration date
02/28/2007
Last updated
12/06/2011
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