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Organization

ANEW HOME HEALTH LC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES MICHAEL HAYDEN RPH (OWNER-MANAGING MEMBER)
(913) 649-6060
Entity
Organization

Contact information

Practice address
7933 FRONTAGE RD, OVERLAND PARK, KS 66204-2351
(913) 649-6060
(913) 649-6066
Mailing address
7933 FRONTAGE RD, OVERLAND PARK, KS 66204-2351
(913) 649-6060
(913) 649-6066

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7232
MO
251E00000X
Home Health Agency
Primary
A046130
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5887464301
KS
01
7232
STATE LICENSE
MO
01
A046130
STATE LICENSE
KS
Enumeration date
07/07/2005
Last updated
12/18/2007
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