Organization
WINETEER, INC.
Active
Other names
LifeWise Renovations, LifewiseCHM
Organization subpart
No
Provider details
NPI number
Authorized official
KATY DODD (PRINCIPAL)
(913) 380-4246
Entity
Organization
Contact information
Practice address
3500 W 75TH ST, SUITE 100, PRAIRIE VILLAGE, KS 66208
(816) 363-0600
(816) 363-2080
Mailing address
3500 W 75TH ST STE 100, PRAIRIE VILLAGE, KS 66208-4129
(913) 380-4246
(816) 363-2080
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
201107880A
KS
171WH0202X
Home Modifications Contractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
201107880A
KS
332BC3200X
Customized Equipment (DME)
201107880A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107880A
—
KS
05
—
201107880B
—
KS
05
—
F500301110
—
TX
Enumeration date
05/28/2015
Last updated
04/08/2024
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