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Organization

WABASH VALLEY SAFEKEEPERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRESTON JAMES BOWMAN (CHIEF EXECUTIVE OFFICER)
(812) 201-4239
Entity
Organization

Contact information

Practice address
4270 CARRIAGE LN, TERRE HAUTE, IN 47805-8628
(812) 201-4542
(812) 917-2870
Mailing address
4270 CARRIAGE LN, TERRE HAUTE, IN 47805-8628
(812) 201-4542
(812) 917-2870

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-013-747-1
IN

Other

Enumeration date
10/31/2015
Last updated
10/31/2015
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