Organization
INDIANA HOMECARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S KELLY (MANAGER CEO)
(405) 928-2727
Entity
Organization
Contact information
Practice address
1932 E 53RD ST, ANDERSON, IN 46013-2832
(765) 640-4500
(765) 640-9400
Mailing address
1932 E 53RD ST, ANDERSON, IN 46013-2832
(765) 640-4500
(765) 640-9400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003788
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454290A
—
IN
Enumeration date
06/14/2005
Last updated
06/16/2009
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