Organization
DEACONESS VNA PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA D. HORTON (EXECUTIVE DIRECTOR)
(812) 425-3561
Entity
Organization
Contact information
Practice address
610 E WALNUT ST, EVANSVILLE, IN 47713-2460
(812) 425-3561
(812) 463-4600
Mailing address
PO BOX 3487, EVANSVILLE, IN 47734-3487
(812) 425-3561
(812) 463-4600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150052471
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186268
BLUE CROSS EVANSVILLE OFF
IN
01
—
000000323484
BLUE CROSS-PRINCETON OFF
IN
01
—
000000323485
BLUE CROSS TELL CITY OFFI
IN
05
—
201266990A
—
IN
01
—
V255P(657A5)1475
VA - MARION
IL
Enumeration date
10/19/2006
Last updated
08/06/2015
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