Organization
KWATE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CROSS DAVID (VP)
(317) 998-5954
Entity
Organization
Contact information
Practice address
1572 GARRICK DR, AVON, IN 46123-5665
(317) 998-5954
Mailing address
1572 GARRICK DR, AVON, IN 46123-5665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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