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Organization

ADVANCED HOMECARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA GENE LONDON-LEIB (CEO/OWNER)
(785) 841-2200
Entity
Organization

Contact information

Practice address
2851 IOWA ST, LAWRENCE, KS 66046-4172
(785) 841-2200
(785) 841-7003
Mailing address
2851 IOWA ST, LAWRENCE, KS 66046-4172
(785) 841-2200
(785) 841-7003

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5-02038
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000118112
BCBS OF KS
KS
05
100455900A
KS
Enumeration date
08/05/2006
Last updated
01/21/2009
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