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Organization

SCOTT D. SKINNER INC. DBA COMFORT KEEPERS #307

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT SKINNER (PRESIDENT)
(765) 427-2269
Entity
Organization

Contact information

Practice address
1803 S CREASY LN, LAFAYETTE, IN 47905-4943
(765) 449-9797
Mailing address
1803 S CREASY LN, LAFAYETTE, IN 47905-4943
(765) 449-9797

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
16-011724-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200878800A
IN
Enumeration date
02/09/2017
Last updated
02/09/2017
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