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Organization
ACE FOSTER CARE AND PEDIATRIC HOME NURSING AGENCY
Active
Organization
ACE FOSTER CARE AND PEDIATRIC HOME NURSING AGENCY
Active
Other names
Ace Pediatric Home Nursing Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT CUNNINGHAM (PRESIDENT)
(219) 989-9650
Entity
Organization
Contact information
Practice address
7026 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2208
(219) 989-9650
(219) 989-9649
Mailing address
7026 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2208
(219) 989-9650
(219) 989-9649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060043871
IN
253J00000X
Foster Care Agency
81686098 53728
IN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
81686098 53728
IN
Other
Enumeration date
07/08/2006
Last updated
10/05/2012
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