Organization
CRESCENTCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN STARNES-KIELY (PRESIDENT)
(812) 402-0002
Entity
Organization
Contact information
Practice address
1357 WASHINGTON AVE, EVANSVILLE, IN 47714-1945
(812) 402-0002
(812) 401-1200
Mailing address
1357 WASHINGTON AVE, EVANSVILLE, IN 47714-1945
(812) 402-0002
(812) 401-1200
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0120011360
IN
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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