Individual
ANGELA LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 E 125TH TER APT B, OLATHE, KS 66061-5830
(913) 704-7614
Mailing address
1420 E 125TH TER APT B, OLATHE, KS 66061-5830
(913) 704-7614
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9947987
MAMALUV FOUNDATION, LLC
KS
Enumeration date
10/03/2023
Last updated
10/03/2023
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