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NPI Code Detail

MEDICARE: VOCA IN, LLC

MEDICARE: VOCA IN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457479156
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCA IN, LLC
Provider Business Mailing Address
First Line : 805 N WHITTINGTON PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-7101
Country : US
Telephone Number : 800-866-0860
Fax Number :
Provider Business Practice Location Address
First Line : 4018 BOWMAN AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3609
Country : US
Telephone Number : 812-273-0523
Fax Number :
Authorized Official
Title or Position : PROVIDER ENROLLMENT
Name : DENISHA CONNOR
Credential :
Telephone Number : 502-630-7421
Provider Enumeration Date : 03/27/2007
Last Update Date : 11/15/2024

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Directions to “VOCA IN, LLC ” Practice Location

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