Provider Demographics
NPI:1801183769
Name:ALL ABOUT YOU BY THE SAINT RAPHAEL GROUP
Entity Type:Organization
Organization Name:ALL ABOUT YOU BY THE SAINT RAPHAEL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIROTTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-269-5400
Mailing Address - Street 1:903 W 18TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2306
Mailing Address - Country:US
Mailing Address - Phone:316-269-5400
Mailing Address - Fax:316-269-5406
Practice Address - Street 1:903 W 18TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2306
Practice Address - Country:US
Practice Address - Phone:316-269-5400
Practice Address - Fax:316-269-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS100460080A253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care