Organization
GOOD SHEPHERD HOSPICE WICHITA LLC
Active
Organization
GOOD SHEPHERD HOSPICE WICHITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON KYLE DELESTER (PRESIDENT)
(405) 943-0903
Entity
Organization
Contact information
Practice address
7829 E ROCKHILL, STE 403, WICHITA, KS 67206
(316) 616-2277
(316) 616-2288
Mailing address
7829 E ROCKHILL, STE 403, WICHITA, KS 67206
(316) 616-2277
(316) 616-2288
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
379858
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385740A
—
KS
Enumeration date
09/01/2006
Last updated
10/02/2024
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