Organization
IN HOME HEALTH, LLC
Active
Parent organization
IN HOME HEALTH, LLC
Other names
ProMedica Hospice (Sedalia)
Organization subpart
Yes
Provider details
NPI number
Legal business name
IN HOME HEALTH, LLC
Authorized official
MARTIN DAVID ALLEN (SOLE DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
150 S LIMIT AVE STE 400, SEDALIA, MO 65301-3617
(567) 585-1191
Mailing address
PO BOX 10086, TOLEDO, OH 43699-0086
(567) 585-1191
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828561100
—
MO
Enumeration date
04/19/2022
Last updated
04/19/2022
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