Organization
INDIANA STATE HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSAR MOHAMMED (PRESIDENT)
(773) 852-7866
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(773) 852-7866
Mailing address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(773) 852-7866
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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