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Organization
COMMUNITY CARE HUB OF INDIANA, INC
Active
Organization
COMMUNITY CARE HUB OF INDIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VANDAGRIFFT (BOARD MEMBER)
(260) 745-1200
Entity
Organization
Contact information
Practice address
8101 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4163
(260) 745-1200
Mailing address
8101 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4163
(260) 745-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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