Organization
COUNTY OF SUMNER
Active
Other names
Sumner County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MAE RETTIG (ADMINISTRATOR)
(620) 326-5312
Entity
Organization
Contact information
Practice address
217 W 8TH ST, SUITE 2, WELLINGTON, KS 67152-3922
(620) 326-5312
(620) 326-2738
Mailing address
217 W 8TH ST, SUITE 2, WELLINGTON, KS 67152-3922
(620) 326-5312
(620) 326-2738
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014440B
—
KS
01
—
17D0883090
CLIA NUMBER
KS
Enumeration date
02/23/2006
Last updated
01/19/2010
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