Healthcare Provider Details
I. General information
NPI: 1538495981
Provider Name (Legal Business Name): ALL ABOUT YOU HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1207 W 42ND ST S APT C
WICHITA KS
67217-4471
US
IV. Provider business mailing address
1207 W 42ND ST S APT C
WICHITA KS
67217-4471
US
V. Phone/Fax
- Phone: 316-871-5846
- Fax: 316-425-3273
- Phone: 316-871-5846
- Fax: 316-425-3273
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TIFFANY
BURTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 316-871-5846