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Organization

COUNTY OF JEFFERSON

Active
Other names
Jefferson County Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNE MARIE CZOCH RN, BSN (HOME CARE DIRECTOR)
(785) 863-2447
Entity
Organization

Contact information

Practice address
1212 WALNUT ST, OSKALOOSA, KS 66066-4200
(785) 863-2447
(785) 863-3323
Mailing address
1212 WALNUT ST, OSKALOOSA, KS 66066-4200
(785) 863-2447
(785) 863-3323

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A044001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00279
KANSAS BCBS
KS
05
100089340B
KS
Enumeration date
07/08/2005
Last updated
06/17/2011
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