Organization
PRESTIGE HOME CARE OF KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERI MARTIN ARNP (PRESIDENT/ADMINISTRATOR)
(913) 780-0493
Entity
Organization
Contact information
Practice address
515 DELAWARE ST, LEAVENWORTH, KS 66048-2642
(913) 680-0493
Mailing address
515 DELAWARE ST, LEAVENWORTH, KS 66048-2642
(913) 680-0493
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A052010
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200589570A
—
KS
Enumeration date
03/01/2010
Last updated
03/01/2010
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