Organization
HOME TOWN HEALTH CARE LLC
Active
Other names
Home Town Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA RAE SHINKLE RN (CHEIF EXECUTIVE OFFICER)
(620) 378-3760
Entity
Organization
Contact information
Practice address
921 W MYRTLE ST, INDEPENDENCE, KS 67301-3241
(620) 332-3215
(620) 332-3293
Mailing address
314 N 7TH ST, FREDONIA, KS 66736-1337
(620) 378-3760
(620) 378-3765
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425730C
—
KS
Enumeration date
10/08/2015
Last updated
04/06/2021
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