Doctor Name: | SAHRA BENNETT |
NPI Number: | 1093143976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 915 Skyline Dr Junction City, KS - 664414022 |
Business Phone Number: | 7854929297 |
Business Fax Number: | |
Mailing Address: | 915 Skyline Dr, JUNCTION CITY |
State: | KS |
Postal Code: | 664414022 |
Phone Number: | 7854929297 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2013 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |