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Organization
PRAIRIE HEALTHCARE SERVICES LLC
Active
Organization
PRAIRIE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHZAD KHAN (CEO)
(219) 240-1246
Entity
Organization
Contact information
Practice address
5920 HOHMAN AV, HAMMOND, IN 46320
(219) 240-1246
(219) 240-1246
Mailing address
5920 HOHMAN AVE, HAMMOND, IN 46320-2423
(219) 240-1246
(219) 240-1246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/20/2017
Last updated
07/21/2022
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