Organization
ANGELS OF MERCY HOME HEALTH CARE, LLC
Active
Other names
Angels of Mercy Homecare Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S KELLY (MANAGER, CEO)
(405) 928-2727
Entity
Organization
Contact information
Practice address
1800 N WABASH RD, SUITE 100, MARION, IN 46952-1300
(765) 651-3242
(765) 651-3246
Mailing address
1800 N WABASH RD, SUITE 100, MARION, IN 46952-1300
(765) 651-3242
(765) 651-3246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003890
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003890
ISBH LICENSE NUMBER
IN
Enumeration date
12/16/2005
Last updated
01/14/2010
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