Organization
KAH DEVELOPMENT 4, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(870) 527-2186
Entity
Organization
Contact information
Practice address
409 W 4TH ST, BRINKLEY, AR 72021-2113
(870) 527-2186
(870) 734-1163
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
06/21/2016
Last updated
11/30/2023
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