Organization
MERCY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY WALDSCHMIDT (ADMINISTRATOR)
(316) 733-9400
Entity
Organization
Contact information
Practice address
213 W CENTRAL AVE, ANDOVER, KS 67002-9619
(316) 733-9400
(316) 733-9478
Mailing address
PO BOX 580, ANDOVER, KS 67002-0580
(316) 733-9400
(316) 733-9478
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
A008011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308550A
—
KS
Enumeration date
08/06/2009
Last updated
08/06/2009
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