# RABY HOME HEALTHCARE,INC

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

## Provider details

- **NPI number:** 1558736215
- **Authorized official:** ADENIKE R OMOMO (PRESIDENT)
- **Authorized official phone:** (708) 475-3600

## Contact information

- **Practice address:** 905 JOLIET ST, \#172, DYER, IN 46311-1922
- **Practice address phone:** (708) 475-3600
- **Mailing address:** 905 JOLIET ST, \#172, DYER, IN 46311-1922
- **Mailing address phone:** (708) 475-3600

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2015
- **Last updated:** 12/07/2015
