Organization
MISSION IN HOME SERVICES AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA MARIE ENGLAND (OWNER MANAGER)
(812) 404-6152
Entity
Organization
Contact information
Practice address
4190 S CINDY LN, SALEM, IN 47167-6077
(812) 404-6152
(812) 896-1984
Mailing address
4190 S CINDY LN, SALEM, IN 47167-6077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200894520
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200894520
LEGACY PROVER IDENTIFIER
IN
Enumeration date
06/03/2008
Last updated
06/03/2008
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