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Organization
MOBILE HEALTHCARE OF NORTHWEST INDIANA, LLC
Active
Organization
MOBILE HEALTHCARE OF NORTHWEST INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THEODORA KOKTSIDIS MEDICAL ASSISTANT (HEALTH ADMINISTRATOR)
(219) 677-7018
Entity
Organization
Contact information
Practice address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429
Mailing address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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