Organization
MY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMPHIEN AMPHONE RN (ADMIN/OWNER)
(316) 358-9423
Entity
Organization
Contact information
Practice address
1037 S BROADWAY AVE, WICHITA, KS 67211-2232
(316) 358-9423
(316) 358-9975
Mailing address
1037 S BROADWAY AVE, WICHITA, KS 67211-2232
(316) 358-9423
(316) 358-9975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
05/27/2022
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