Organization
SWTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERWIN V YOUNG (OWNER)
(219) 805-1802
Entity
Organization
Contact information
Practice address
6411 GRAND AVE, HAMMOND, IN 46323-1230
(219) 805-1802
(219) 844-4440
Mailing address
6411 GRAND AVE, HAMMOND, IN 46323-1230
(219) 805-1802
(219) 844-4440
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1920-16-6526
IN
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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