Organization
EEROMA RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE EUGENE MITCHELL (OWNER)
(913) 215-1112
Entity
Organization
Contact information
Practice address
32330 W 166TH ST, GARDNER, KS 66030-7800
(913) 215-1112
Mailing address
32330 W 166TH ST, GARDNER, KS 66030-7800
(913) 215-1112
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KS
251C00000X
Developmentally Disabled Services Day Training Agency
—
KS
251E00000X
Home Health Agency
—
KS
253Z00000X
In Home Supportive Care Agency
Primary
—
KS
Other
Enumeration date
07/17/2016
Last updated
07/26/2017
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