Independence at Home Homecare, LLC

NPI #1013570274 in Van Buren, Arkansas

Provider Information

NPI Number
1013570274
Entity Type
Organization
Organization Name
Independence at Home Homecare, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Apr 15, 2019
Last Updated
Oct 17, 2022

Practice Location

Address
2711 OAK LANE STE 2
ZIP Code
72956-8806
Phone
(479) 316-0273

Authorized Official

Name
JOHN E SAFONOV
Title
OWNER/PRESIDENT
Phone
(479) 208-3757

Specialties & Taxonomy Codes

Specialty
Case Management
Respite Care - Respite Care, Physical Disabilities, ChildRespite Care, Physical Disabilities, Child
In Home Supportive Care

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