Organization
INDEPENDENT HEALTH CARE SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INDI SHELBY (PRESIDENT/CEO)
(315) 477-9308
Entity
Organization
Contact information
Practice address
1050 W GENESEE ST, SYRACUSE, NY 13204-2215
(315) 424-3744
Mailing address
1050 W GENESEE ST, SYRACUSE, NY 13204-2215
(315) 424-3744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9785L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914049
—
NY
05
—
01030386
—
NY
Enumeration date
09/02/2005
Last updated
08/22/2020
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