Organization
WHOLE LIFE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JADE FORD (PRESIDENT)
(316) 448-6287
Entity
Organization
Contact information
Practice address
1400 TERRADYNE DR STE 211, ANDOVER, KS 67002-7942
(316) 448-6287
(316) 330-9141
Mailing address
1400 TERRADYNE DR STE 211, ANDOVER, KS 67002-7942
(316) 448-6287
(316) 330-9141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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