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Organization
PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.
Active
Organization
PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
(601) 268-1842
Entity
Organization
Contact information
Practice address
6523 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 432-9699
(260) 432-5617
Mailing address
PO BOX 16809, HATTIESBURG, MS 39404-6809
(601) 268-1842
(601) 268-7898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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