Organization
WICHITA ATTENDANT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTEZ NELSON (MEMBER)
(316) 409-4033
Entity
Organization
Contact information
Practice address
2251 S GLENDALE ST, WICHITA, KS 67218-5117
(316) 409-4033
Mailing address
2251 S GLENDALE ST, WICHITA, KS 67218-5117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A-087-166
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-087-166
—
KS
Enumeration date
07/02/2014
Last updated
07/02/2014
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