Organization
WICHITA KS HOMECARE
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A BROWN (OWNER)
(316) 928-2196
Entity
Organization
Contact information
Practice address
5920 E CENTRAL AVE STE 101, WICHITA, KS 67208-4241
(316) 928-2196
(316) 928-2198
Mailing address
5920 E CENTRAL AVE STE 101, WICHITA, KS 67208-4241
(316) 928-2196
(316) 928-2198
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-014-081
TEMPORARY OPERATING PERMIT FOR CLASS-B SERVICES
KS
Enumeration date
07/08/2019
Last updated
05/20/2020
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