Healthcare Provider Details

I. General information

NPI: 1285789016
Provider Name (Legal Business Name): MRS. LOUISE JOYCE HINRICHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 E LOGAN AVE
EMPORIA KS
66801-6808
US

IV. Provider business mailing address

714 E LOGAN AVE
EMPORIA KS
66801-6808
US

V. Phone/Fax

Practice location:
  • Phone: 620-342-0863
  • Fax:
Mailing address:
  • Phone: 620-342-0863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: