Organization
KAH DEVELOPMENT 10, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
2600 N ELM ST STE A, LUMBERTON, NC 28358-3011
(910) 802-9626
(910) 738-1621
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
04/06/2023
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