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Organization

MELTON IN-HOME CARE, LLC

Active
Other names
Visiting Angels
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH JASON MELTON (OWNER)
(931) 808-5247
Entity
Organization

Contact information

Practice address
1404 N MAIN ST, SHELBYVILLE, TN 37160-2381
(931) 488-6863
(931) 488-6852
Mailing address
1404 N MAIN ST, SHELBYVILLE, TN 37160-2381
(931) 488-6863
(931) 488-6852

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
16393
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q014623
TN
Enumeration date
09/29/2015
Last updated
09/29/2015
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