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ST. MARY'S AT HOME, LLC

Home Health Agencies

Evansville, Indiana

Provider NPI: 1780687061

Organization Information:
Organization Name:  ST. MARY'S AT HOME, LLC


Practice Location:
7321 EAGLE CREST BLVD STE B  EVANSVILLE, IN 47715 US
Tel: 812-774-9760  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health
IN007035

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS INFUSION000000222679IN01
BLUE CROSS HOME HEALTH000000194515IN01
100380190IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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