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Organization

KNOX COUNTY NON-MEDICAL HOME HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM SCOTT ROBERTSON (OWNER)
(812) 681-0128
Entity
Organization

Contact information

Practice address
82 THOMPSON DR, VINCENNES, IN 47591-5648
(812) 681-0128
Mailing address
82 THOMPSON DR, VINCENNES, IN 47591-5648
(812) 681-0128

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
174200000X
Meals Provider
251E00000X
Home Health Agency
Primary
372500000X
Chore Provider
374U00000X
Home Health Aide
376G00000X
Nursing Home Administrator
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202101221454229
IN
Enumeration date
09/30/2021
Last updated
10/01/2021
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