Organization
PROVIDENCE HOME HEALTH & HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA J WAMBUGU-DAVIS (ADMINISTRATOR)
(316) 558-5956
Entity
Organization
Contact information
Practice address
9415 E HARRY ST STE 703, WICHITA, KS 67207
(316) 992-8578
(316) 558-5956
Mailing address
9415 E HARRY ST STE 703, WICHITA, KS 67207-5084
(316) 558-5956
(316) 558-5948
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
01/24/2023
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