MY SACRED HOME LLC NPI 1144455312

NPI Information

MY SACRED HOME, LLC is a hospice care community based in Wichita, KS. MY SACRED HOME, LLC NPI is 1144455312. The provider is registered as an organization entity type.
The provider Is Doing Business As My Sacred Home Hospice.

The provider's business location address is:

7829 E ROCKHILL ST STE 406
WICHITA, KS
ZIP 67206-915
Phone: (316) 440-4820
Fax: (316) 440-4851

The provider's authorized official is Jessica L Manzano .
The authorized official title is Billing And Coding Manager and has the following contact phone number (316) 440-4820.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 5/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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