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KANSAS MASONIC HOME, INC.

Hospice, Inpatient

Wichita, Kansas

Provider NPI: 1952516346

Organization Information:
Organization Name:  KANSAS MASONIC HOME, INC.


Practice Location:
401 S SENECA ST  WICHITA, KS 67213 US
Tel: 316-269-7652  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
KSZ087011

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS-BLUE SHIELD0578KS01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOSPICE JOBS KS - Page 1



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