# 111 HOME HEALTH CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245558808
- **Authorized official:** MRS. LAVERN I SUGGS LPN (CEO)
- **Authorized official phone:** (574) 293-6682

## Contact information

- **Practice address:** 336 W GARFIELD AVE, ELKHART, IN 46516-2501
- **Practice address phone:** (574) 293-6682
- **Practice address fax:** (574) 293-7947
- **Mailing address:** 336 W GARFIELD AVE, ELKHART, IN 46516-2501
- **Mailing address phone:** (574) 293-6682
- **Mailing address fax:** (574) 293-7947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 05/06/2010