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Organization
AMEDISYS INDIANA, L.L.C
Active
Organization
AMEDISYS INDIANA, L.L.C
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
3363 WILLOWCREEK RD, PORTAGE, IN 46368-5015
(219) 836-4979
(219) 836-4976
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 298-3548
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
070101491
IN
251E00000X
Home Health Agency
130101491
IN
251E00000X
Home Health Agency
14-010149-1
IN
251E00000X
Home Health Agency
15-010149-1
IN
251E00000X
Home Health Agency
16-010149-1
IN
251E00000X
Home Health Agency
Primary
17-010149-1
IN
Other
Enumeration date
04/28/2008
Last updated
03/10/2020
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