Organization
YOUR LIFE MATTERS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBBIE SHEVETTE MCCAIN-FICKLIN (CEO)
(765) 243-2601
Entity
Organization
Contact information
Practice address
2118 W 2ND ST APT 113B, MARION, IN 46952-3281
(765) 243-2601
Mailing address
2118 W 2ND ST APT 113B, MARION, IN 46952-3281
(765) 243-2601
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023515392
NON-MEDICAL
IN
05
—
1023515392
—
IN
Enumeration date
08/24/2018
Last updated
08/24/2018
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