# SPRING OF LIFE HEALTH CARE SERVICES, INC

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

## Provider details

- **NPI number:** 1912306663
- **Authorized official:** NAAVA L WEST (ADMINISTRATOR)
- **Authorized official phone:** (757) 472-5680

## Contact information

- **Practice address:** 6111 HARRISON ST, SUITE 104, MERRILLVILLE, IN 46410-2969
- **Practice address phone:** (757) 472-5680
- **Mailing address:** 6111 HARRISON ST, SUITE 104, MERRILLVILLE, IN 46410-2969
- **Mailing address phone:** (757) 472-5680

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 08/19/2014