Organization Name: | YOUR HOME CARE SOLUTION INC |
NPI Number: | 1003043878 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE KELLY DEVINE (OWNER) |
Mailing Address: | 3617 Mishawaka Ave South Bend |
State: | IN US |
Postal Code: | 466152425 |
Phone Number: | 5742982006 |
Fax Number: | 5742894555 |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 09-012137-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |