# PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992796619
- **Authorized official:** MISS NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (601) 268-1842

## Contact information

- **Practice address:** 6523 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
- **Practice address phone:** (260) 432-9699
- **Practice address fax:** (260) 432-5617
- **Mailing address:** PO BOX 16809, HATTIESBURG, MS 39404-6809
- **Mailing address phone:** (601) 268-1842
- **Mailing address fax:** (601) 268-7898

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 08/22/2020