Iccabi LLC
NPI #1063287449 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1063287449
- Entity Type
- Organization
- Organization Name
- Iccabi LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Nov 16, 2023
- Last Updated
- Nov 16, 2023
Practice Location
- Address
- 1458 RIDGEWAY DRIVE
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130
- Phone
- (812) 647-7960
Authorized Official
- Name
- MR. TYRE GRINAGE
- Title
- CEO
- Phone
- (812) 647-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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