MEDICARE: INHOME CARE INC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821429044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INHOME CARE INC

Provider Business Mailing Address
First Line	:	2122 OAK GROVE RD STE F-1
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-1571
Country	:	US
Telephone Number	:	601-261-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	2122 OAK GROVE RD STE F-1
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-1571
Country	:	US
Telephone Number	:	601-261-2114
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	BOB EDENFIELD
Credential	:
Telephone Number	:	601-261-2114

Provider Enumeration Date	:	12/13/2013
Last Update Date	:	12/13/2013

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Directions to “INHOME CARE INC ” Practice Location

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