# ABSOLUTE CARE OF HAMMOND, INC.

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

## Provider details

- **NPI number:** 1417085382
- **Authorized official:** MS. PHYLLIS BERNADETTE LARK (OWNER)
- **Authorized official phone:** (219) 933-8157

## Contact information

- **Practice address:** 534 CONKEY ST STE 2, HAMMOND, IN 46324-1146
- **Practice address phone:** (219) 933-8157
- **Practice address fax:** (219) 933-8273
- **Mailing address:** 534 CONKEY ST STE 2, HAMMOND, IN 46324-1146
- **Mailing address phone:** (219) 933-8157
- **Mailing address fax:** (219) 933-8273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | IN | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200385940A | — | IN |
| 05 | — | 200431610A | — | IN |