Provider Demographics
NPI:1376793075
Name:RIGHT @ HOME ADULT DAY CARE SEVICE
Entity Type:Organization
Organization Name:RIGHT @ HOME ADULT DAY CARE SEVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:WAMPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-342-0431
Mailing Address - Street 1:305 EAST NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:BOURBON
Mailing Address - State:IN
Mailing Address - Zip Code:46504-1614
Mailing Address - Country:US
Mailing Address - Phone:574-342-0431
Mailing Address - Fax:
Practice Address - Street 1:305 E NORTH ST
Practice Address - Street 2:
Practice Address - City:BOURBON
Practice Address - State:IN
Practice Address - Zip Code:46504-1614
Practice Address - Country:US
Practice Address - Phone:574-342-0431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN$$$$$$$$$OtherSOCIAL SECURITY NUMBER