Provider Demographics
NPI:1639329493
Name:IN YOUR HOME CASE MANAGEMENT, LLC
Entity type:Organization
Organization Name:IN YOUR HOME CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TEDDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-269-4539
Mailing Address - Street 1:833 LITCHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3106
Mailing Address - Country:US
Mailing Address - Phone:316-269-4539
Mailing Address - Fax:316-269-4539
Practice Address - Street 1:833 LITCHFIELD ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3106
Practice Address - Country:US
Practice Address - Phone:316-269-4539
Practice Address - Fax:316-269-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management