Organization
MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG WISBY (CEO)
(620) 241-6693
Entity
Organization
Contact information
Practice address
2107 INDUSTRIAL DR, MCPHERSON, KS 67460-8128
(620) 241-6693
(620) 241-6699
Mailing address
2107 INDUSTRIAL DR, MCPHERSON, KS 67460-8128
(620) 241-6693
(620) 241-6699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044250B
—
KS
Enumeration date
08/29/2014
Last updated
08/29/2014
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