Organization
ACHIEVING SMILES WAIVER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN COPELAND (CEO)
(812) 746-6923
Entity
Organization
Contact information
Practice address
811 RIDGEWAY AVE, EVANSVILLE, IN 47713-2827
(812) 746-6923
Mailing address
811 RIDGEWAY AVE, EVANSVILLE, IN 47713-2827
(812) 746-6923
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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