Organization
INDEPENDENT LIVING CENTER OF EASTERN INDIANA
Active
Other names
Independent Living Products
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R MCCORMICK (CEO)
(765) 939-9226
Entity
Organization
Contact information
Practice address
1818 W MAIN ST, RICHMOND, IN 47374-5411
(765) 939-9226
(765) 935-2215
Mailing address
1818 W MAIN ST, RICHMOND, IN 47374-5411
(765) 939-9226
(765) 935-2215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200833610A
—
IN
Enumeration date
06/13/2006
Last updated
09/11/2008
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