Independent Living Center of Eastern Indiana

NPI #1043253800 in Richmond, Indiana

Provider Information

NPI Number
1043253800
Entity Type
Organization
Organization Name
Independent Living Center of Eastern Indiana
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 13, 2006
Last Updated
Sep 11, 2008

Practice Location

Address
1818 W MAIN ST
State
Indiana
ZIP Code
47374-5411
Phone
(765) 939-9226

Authorized Official

Name
MR. JAMES R MCCORMICK
Title
CEO
Phone
(765) 939-9226

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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