Healthcare Provider Details

I. General information

NPI: 1659347433
Provider Name (Legal Business Name): COUNTY OF SUMNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W 8TH ST SUITE 2
WELLINGTON KS
67152-3922
US

IV. Provider business mailing address

217 W 8TH ST SUITE 2
WELLINGTON KS
67152-3922
US

V. Phone/Fax

Practice location:
  • Phone: 620-326-5312
  • Fax: 620-326-2738
Mailing address:
  • Phone: 620-326-5312
  • Fax: 620-326-2738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURA MAE RETTIG
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-326-5312