Organization
INDEPENDENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN JACOB HARDIN (OWNER/OPERATOR)
(740) 358-7491
Entity
Organization
Contact information
Practice address
300 COOPER ST, MOUNT VERNON, OH 43050-1604
(740) 358-7491
(740) 326-6162
Mailing address
300 COOPER ST, MOUNT VERNON, OH 43050-1604
(740) 358-7491
(740) 326-6162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080812
—
OH
01
—
NA
AETNA
OH
05
—
NA
—
OH
Enumeration date
02/26/2019
Last updated
01/16/2025
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