Organization
INDIANA MASONIC HOME, INC.
Active
Parent organization
INDIANA MASONIC HOME, INC.
Other names
Acacia Home Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA MASONIC HOME, INC.
Authorized official
DR. GREGORY L. LIMEBERRY (ADMINISTRATOR)
(317) 736-6141
Entity
Organization
Contact information
Practice address
690 STATE STREET, FRANKLIN, IN 46131-2591
(317) 736-6141
(317) 736-0454
Mailing address
690 STATE STREET, FRANKLIN, IN 46131-2591
(317) 736-6141
(317) 736-0454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
070011331
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000590734
ANTHEM
IN
Enumeration date
05/10/2007
Last updated
11/17/2008
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