Individual
JOSEPH LUKE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S COLLEGE AVE, MULVANE, KS 67110-1831
(316) 371-4577
Mailing address
510 S COLLEGE AVE, MULVANE, KS 67110-1831
(316) 371-4577
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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