Organization
ADVANCED HOME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL K. MISSANA (OWNER)
(316) 518-0062
Entity
Organization
Contact information
Practice address
2324 W MAY ST, WICHITA, KS 67213-2818
(316) 518-0062
Mailing address
5810 E 49TH ST N, BEL AIRE, KS 67220-1481
(316) 518-0123
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
KS
Other
Enumeration date
07/04/2013
Last updated
07/21/2022
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