MEDICARE: SUNFLOWER CASE MANAGEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1225206477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER CASE MANAGEMENT

Provider Business Mailing Address
First Line	:	2925 E MARY ST
Second Line	:	P.O. BOX 702
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-9275
Country	:	US
Telephone Number	:	620-275-4440
Fax Number	:	620-276-2992

Provider Business Practice Location Address
First Line	:	2925 E MARY ST
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-9275
Country	:	US
Telephone Number	:	620-275-4440
Fax Number	:	620-276-2992

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. CHRISTA LEIGH MCKINNEY
Credential	:
Telephone Number	:	620-275-4440

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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