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Organization

EMERALD CARE IN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX HENDERSON (OWNER/AUTHORIZED OFFICIAL)
(812) 850-0619
Entity
Organization

Contact information

Practice address
202 E MAPLE ST, JEFFERSONVILLE, IN 47130-3420
(812) 850-0619
(317) 458-1794
Mailing address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(812) 850-0619
(317) 458-1794

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
10/02/2025
Last updated
10/03/2025
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