Organization
MARJORIE'S HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA REGIER (OWNER)
(316) 213-9816
Entity
Organization
Contact information
Practice address
14601 E TIMBER LAKE RD, WICHITA, KS 67230-9220
(316) 213-9816
(316) 977-8809
Mailing address
14601 E TIMBER LAKE RD, WICHITA, KS 67230-9220
(316) 213-9816
(316) 977-8809
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
B087162
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200748940A
—
KS
Enumeration date
12/27/2012
Last updated
12/27/2012
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