Organization
MY SACRED HOME DME/HME,LLC
Active
Other names
MSH DME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNIFER S TERRY RN (PRESIDENT)
(316) 440-4820
Entity
Organization
Contact information
Practice address
1837 N ROCK ROAD CT, WICHITA, KS 67206-1251
(316) 440-7501
(316) 558-5479
Mailing address
1837 N ROCK ROAD CT, WICHITA, KS 67206-1251
(316) 440-7501
(316) 558-5479
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2009
Last updated
11/02/2010
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