# RESIDENTIAL CLINICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1376549410
- **Authorized official:** DR. AHMED A. MOHAMED DPT (ADMINISTRATOR/PRESIDENT)
- **Authorized official phone:** (219) 736-5718

## Contact information

- **Practice address:** 8102 GEORGIA ST FL 2, MERRILLVILLE, IN 46410-6225
- **Practice address phone:** (219) 736-5718
- **Practice address fax:** (219) 736-5720
- **Mailing address:** 103 W 78TH PL, MERRILLVILLE, IN 46410-5468
- **Mailing address phone:** (219) 736-5718
- **Mailing address fax:** (219) 736-5720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 04-005307-1 | IN | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 08/13/2021