Organization
LIFE BUILDERS HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAVONDA MARSHALL-JACKSON (OWNER)
(219) 670-0311
Entity
Organization
Contact information
Practice address
6111 HARRISON ST STE 207, MERRILLVILLE, IN 46410-2971
(219) 670-0311
Mailing address
6111 HARRISON ST STE 207, MERRILLVILLE, IN 46410-2971
(219) 670-0311
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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