# CANARY HOME HEALTH CARE OF INDIANA INC

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

## Provider details

- **NPI number:** 1508500794
- **Authorized official:** MR. BRANIFF LASTER (ADMINISTRATOR)
- **Authorized official phone:** (219) 333-8498

## Contact information

- **Practice address:** 9111 BROADWAY STE I, MERRILLVILLE, IN 46410-8122
- **Practice address phone:** (219) 333-8498
- **Mailing address:** 9111 BROADWAY STE II, MERRILLVILLE, IN 46410-7002

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2022
- **Last updated:** 04/24/2022