Organization
CASEMANAGER FOR INDEPENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDY ROSE GERMAN ILC (INDEPENDENT LIVING COUSELOR)
(620) 659-5147
Entity
Organization
Contact information
Practice address
406 MASSACHUSETTS AVE, KINSLEY, KS 67547-1055
(620) 659-5147
Mailing address
406 MASSACHUSETTS AVE, KINSLEY, KS 67547-1055
(620) 659-5147
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200750150A
—
KS
Enumeration date
01/10/2014
Last updated
01/10/2014
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