Organization
MICHELLIS LLC
Active
Other names
Homewatch CareGivers of Evansville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELL R ELLIS (PRESIDENT/OWNER)
(812) 401-9540
Entity
Organization
Contact information
Practice address
4910 TEMPLE AVE, EVANSVILLE, IN 47715-2144
(812) 401-9540
Mailing address
4910 TEMPLE AVE, EVANSVILLE, IN 47715-2144
(812) 401-9540
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
13-013218-1
IN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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