Organization
IN HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE WHITAKER (SECRETARY OF CORP.)
(276) 328-9340
Entity
Organization
Contact information
Practice address
201 NOTTINGHAM AVE, WISE, VA 24293-5612
(276) 328-9340
Mailing address
201 NOTTINGHAM AVE, WISE, VA 24293-5612
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004971051
—
VA
01
—
442461
BLUE CROSS
—
Enumeration date
07/31/2006
Last updated
02/26/2018
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