Organization
COMPASSION COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUANATTE JACKSON LCSW (CEO)
(256) 797-1363
Entity
Organization
Contact information
Practice address
5059 HAYES ST, GARY, IN 46408-4355
(256) 797-1363
Mailing address
5059 HAYES ST, GARY, IN 46408-4355
(256) 797-1363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/26/2020
Last updated
03/28/2025
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