Organization
AT HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA LEEANN WARREN (DIRECTOR)
(765) 939-1309
Entity
Organization
Contact information
Practice address
129 S 9TH ST, RICHMOND, IN 47374-5505
(765) 939-1309
(765) 962-7606
Mailing address
129 S 9TH ST, RICHMOND, IN 47374-5505
(765) 939-1309
(765) 962-7606
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201006900 A
—
IN
Enumeration date
03/10/2011
Last updated
03/10/2011
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