Organization
MY SACRED HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNIFER SUE HELMS-TERRY RN (PRESIDENT)
(316) 708-3236
Entity
Organization
Contact information
Practice address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3920
(316) 440-4820
(316) 440-4851
Mailing address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3920
(316) 440-4820
(316) 440-4851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
4135166
KS
Other
Enumeration date
11/09/2008
Last updated
06/10/2009
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