Organization
EVANSVILLE IN HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MCKIM (OWNER)
(812) 213-6882
Entity
Organization
Contact information
Practice address
123 NW 4TH ST STE 312, EVANSVILLE, IN 47708
(812) 213-6882
Mailing address
123 NW 4TH ST STE 312, EVANSVILLE, IN 47708-1712
(812) 213-6882
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
17-014108-1
IN
Other
Enumeration date
09/22/2017
Last updated
07/11/2018
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