Humboldt Assisted Living, LLC

NPI #1164546024 in Humboldt, Kansas

Provider Information

NPI Number
1164546024
Entity Type
Organization
Organization Name
Humboldt Assisted Living, LLC
Primary Specialty
Home Health
Enumeration Date
Mar 18, 2007
Last Updated
Jun 12, 2015

Practice Location

Address
615 FRANKLIN ST
State
Kansas
ZIP Code
66748-1011
Phone
(620) 473-3456

Authorized Official

Name
JEAN L WILCOX
Title
MANAGEMENT COMPANY REPRESENTATIVE
Phone
(402) 898-1079

Specialties & Taxonomy Codes

Specialty
Home Health

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