Individual provider · Type 1 NPI

Mary Sambou

Adult Care Home Facility · Wichita, KS

NPI number 1104666908 Active

Practice location

742 W 50th Ct S
Wichita, KS 67217-5025

Call (316) 399-5479 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XB087271 (KS)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1104666908

Mary Sambou's National Provider Identifier is 1104666908, issued on May 29, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wichita, KS. The record was last updated on May 29, 2024.