Organization
IN HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW SHANKWEILER (PRESIDENT)
(727) 249-3307
Entity
Organization
Contact information
Practice address
30 WESTERN AVE, EAST MILLINOCKET, ME 04430-1040
(727) 249-3307
Mailing address
499 53RD AVE N, ST PETERSBURG, FL 33703-2960
(727) 249-3307
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
01/08/2019
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