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Michael McCance

In Home Supportive Care in Bardstown, KY. Individual provider (NPI-1).

NPI number1154779924
StatusActive
Last updated in NPPESJun 2, 2016

Details

NPI
1154779924
Entity type
Individual (NPI-1)
Name
Michael McCance
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2016
Last updated
Jun 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care500135KYYes

Practice location

120 W Stephen Foster Ave
Suite 102
Bardstown, KY 40004-1465

Phone 502-348-0377 · Fax 502-348-0379

Mailing address

120 W Stephen Foster Ave
Suite 102
Bardstown, KY 40004-1465

Phone 502-348-0377 · Fax 502-348-0379

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