Organization
GOOD SAMARITAN HOME CARE SERVICES OF VINCENNES, IN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HAWKINS (VP FINANCE, CFO)
(513) 576-8478
Entity
Organization
Contact information
Practice address
328 N 2ND ST STE 300, VINCENNES, IN 47591-1353
(812) 885-2767
(812) 885-2769
Mailing address
6281 TRI RIDGE BLVD STE 300, LOVELAND, OH 45140-8345
(513) 576-0262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200500550A
—
IN
05
—
200502090A
—
IN
Enumeration date
09/12/2005
Last updated
07/14/2023
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