Organization
OURKANSAS GUARDIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIEGFRIED MBOYA (DIRECTOR OF NURSING)
(316) 448-4250
Entity
Organization
Contact information
Practice address
9415 E HARRY ST, STE 605, WICHITA, KS 67207
(316) 448-4250
Mailing address
9415 E HARRY ST, STE 605, WICHITA, KS 67207
(316) 448-4250
(316) 219-5849
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
10/04/2018
Last updated
11/22/2022
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