Organization
MY HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOUAVONE AMPHONE (MEMBER)
(316) 618-6241
Entity
Organization
Contact information
Practice address
1640 N BROADWAY AVE, WICHITA, KS 67214-1119
(316) 618-6241
(316) 978-9713
Mailing address
1640 N BROADWAY AVE, WICHITA, KS 67214-1119
(316) 618-6241
(316) 978-9713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/28/2019
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