Organization
RAVEN BRUST, CHILDREN'S HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN BETH BRUST NURSE (PROPRIETOR)
(812) 483-8734
Entity
Organization
Contact information
Practice address
2800 KISSEL RD, EVANSVILLE, IN 47720-7150
(812) 483-8734
(812) 963-1191
Mailing address
2800 KISSEL RD, EVANSVILLE, IN 47720-7150
(812) 483-8734
(812) 963-1191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NEW AGENCY
IN
Other
Enumeration date
05/17/2006
Last updated
06/16/2008
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