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Organization

AGE IN PLACE HOME SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN KAY KING (MANAGER)
(602) 001-4072
Entity
Organization

Contact information

Practice address
288 HOME ST, HUNTINGTON, IN 46750-1347
(260) 200-1407
(260) 200-1408
Mailing address
288 HOME ST, HUNTINGTON, IN 46750-1347
(260) 200-1407
(260) 200-1408

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
16-013923-1
IN

Other

Enumeration date
06/08/2016
Last updated
02/04/2019
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