Organization
FED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL OGAGAWORDIA BIOKORO (MEMBER)
(219) 779-1280
Entity
Organization
Contact information
Practice address
1446 W 94TH CT, CROWN POINT, IN 46307-2217
(219) 779-1280
Mailing address
1446 W 94TH CT, CROWN POINT, IN 46307-2217
(219) 779-1280
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/06/2020
Last updated
11/01/2020
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