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4910 Corporate Centre Dr Ste 120 Lawrence KS 66047-1002 | |
| (618) 559-5304 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Home Health |
| Location | 4910 Corporate Centre Dr Ste 120, Lawrence, Kansas |
| Authorized Official Name and Position | Sergio P Cruz (CFO) |
| Authorized Official Contact | 7817089444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4910 Corporate Centre Dr Ste 120 Lawrence KS 66047-1002 Ph: (618) 559-5304 | 4910 Corporate Centre Dr Ste 120 Lawrence KS 66047-1002 Ph: (618) 559-5304 |
| NPI Number | 1639733058 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639733058 | NPI | - | NPPES |
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