Organization
INDEPENDENCE IN-HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE SLADE CPA (VICE PRESIDENT OF FINANCE)
(478) 621-2070
Entity
Organization
Contact information
Practice address
316 MERRITT ST, HAWKINSVILLE, GA 31036-1733
(478) 621-2070
(866) 773-8473
Mailing address
PO BOX 952, HAWKINSVILLE, GA 31036-0952
(478) 621-2070
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
GA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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