Organization
C & C IN HOME ASSISTANCE
Active
Other names
ComForcare Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DEREK SMILEY CSA (OWNER/PRESIDENT)
(317) 270-9540
Entity
Organization
Contact information
Practice address
610 N HIGH SCHOOL RD, SUITE B, INDIANAPOLIS, IN 46214-3671
(317) 270-9540
(317) 270-9541
Mailing address
610 N HIGH SCHOOL RD, SUITE B, INDIANAPOLIS, IN 46214-3671
(317) 270-9540
(317) 270-9541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10-012136-1
IN
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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