Organization
AMERICAN BAPTIST ESTATES HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL L SHOOK 1231 (ADMINISTRATOR)
(316) 263-8264
Entity
Organization
Contact information
Practice address
1605 W MAY ST, WICHITA, KS 67213-3511
(316) 263-8264
Mailing address
1605 W MAY ST, WICHITA, KS 67213-3511
(316) 263-8264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A087113
KS
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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