Organization
VANWINKLE HOME HEALTH CARE, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(601) 894-2701
Entity
Organization
Contact information
Practice address
217 CALDWELL DR, HAZLEHURST, MS 39083-2711
(601) 894-2701
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770193
—
MS
Enumeration date
01/08/2006
Last updated
09/06/2022
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