Organization
OUTREACH HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANNE CASTILLO BARBERO (HR MANAGER)
(773) 808-1039
Entity
Organization
Contact information
Practice address
7863 BROADWAY, SUITE 126, MERRILLVILLE, IN 46410-5553
(219) 769-6650
(219) 769-6852
Mailing address
7863 BROADWAY, SUITE 126, MERRILLVILLE, IN 46410-5553
(219) 769-6650
(219) 769-6852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2002865
CLIA#
IN
Enumeration date
03/09/2010
Last updated
03/09/2010
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