Organization
HOOSIER SENIOR CARE LLC
Active
Other names
Hoosiers at Home
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HEDRICK (OWNER)
(765) 714-7817
Entity
Organization
Contact information
Practice address
839 MAIN ST, SUITE 120, LAFAYETTE, IN 47901-2830
(800) 977-1856
Mailing address
839 MAIN ST, SUITE 120, LAFAYETTE, IN 47901-2830
(800) 977-1856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
10-012443-1
IN
253Z00000X
In Home Supportive Care Agency
Primary
12-012443-1
IN
Other
Enumeration date
12/01/2010
Last updated
01/18/2013
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