NPI 1063287449
Iccabi LLC
Practice location
- Address
- 1458 Ridgeway Drive, Jeffersonville, IN 47130
- Phone
- (812) 647-7960
- Mailing address
- 1458 Ridgeway Dr, Jeffersonville, IN 47130-6174
Authorised official
- Name
- Tyre Grinage
- Title
- Ceo
- Phone
- (812) 647-7960
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1063287449
- Entity type
- Organization
- NPI issued
- 16 Nov 2023
- Record last updated
- 16 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.