Organization
KAH DEVELOPMENT 12, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
87 W CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-6848
(910) 808-4556
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
04/06/2023
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