Organization
UNITED MOBILE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SUE ANNE ESTRADA (DIRECTOR)
(219) 828-5999
Entity
Organization
Contact information
Practice address
7114 N US HIGHWAY 421, SAN PIERRE, IN 46374-9103
(219) 828-5999
Mailing address
7114 N US HIGHWAY 421, SAN PIERRE, IN 46374-9103
(219) 828-5999
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0966
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0966
LICENSE/CERTIFICATE NUMBER
IN
Enumeration date
05/26/2011
Last updated
05/26/2011
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