NPI 1104666908

Mary Sambou

Practitioner Adult Care Home Facility Wichita, KS

Practice location

Address: 742 W 50th CT S, Wichita, KS 67217-5025
Phone: (316) 399-5479

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence B087271 (KS)

Other Custodial Care Facility providers in Kansas →

Registry record

NPI: 1104666908
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2024
Record last updated: 29 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.