Organization
HEARTLAND HOMECARE SERVICES, INC
Active
Other names
HEARTLAND HOMECARE SERVICES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LASHLEY (CEO)
(512) 617-7312
Entity
Organization
Contact information
Practice address
7804 E FUNSTON ST STE 203, WICHITA, KS 67207-3107
(316) 821-9646
(316) 821-9617
Mailing address
7804 E FUNSTON ST, STE 203, WICHITA, KS 67207-3107
(316) 821-9646
(316) 821-9617
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2-10401
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003955760004
—
KS
Enumeration date
06/13/2006
Last updated
06/01/2023
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