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General NPI Number Information
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NPI Number | 1528360047
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE HOME HEALTH AGENCY
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Dates
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Enumeration Date | 12/04/2010
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 9152 FUNSTON CT.
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City | WICHITA
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State | KS
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Zip | 67207
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Country | US
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Telephone | 316-295-3034
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Fax | 316-295-3034
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Provider Business Mailing Address
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Address Line | 9152 E FUNSTON CT
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City | WICHITA
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State | KS
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Zip | 67207-5512
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Country | US
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Telephone | 316-295-3034
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Fax | 316-295-3034
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. JACKQUELIE D FRANKLIN
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Credential |
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Telephone | 316-295-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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