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General NPI Number Information
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NPI Number | 1477256097
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Entity Type | Organization
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Legal Business Name | TEAM HOSPICE
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 2548 N MAIZE CT STE 110
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City | WICHITA
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State | KS
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Zip | 67205-7348
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Country | US
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Telephone | 316-302-9141
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Fax |
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Provider Business Mailing Address
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Address Line | 2548 N MAIZE CT STE 110
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City | WICHITA
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State | KS
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Zip | 67205-7348
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RICHARD E LIEPINS
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Credential | DO
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Telephone | 316-302-9141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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