Organization
BLUE STAR HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANNA JEAN JONES RN (CEO)
(316) 258-0840
Entity
Organization
Contact information
Practice address
515 N RIDGE RD, STE 100, WICHITA, KS 67212-6389
(316) 712-6104
Mailing address
515 N RIDGE RD, STE 100, WICHITA, KS 67212-6389
(316) 712-6104
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
06/05/2014
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