Organization
PEDIATRIC, INFANT & FAMILY HOME HEALTH CARE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEWIS (ADMINISTRATOR)
(219) 949-7696
Entity
Organization
Contact information
Practice address
1512 BURR ST, GARY, IN 46406-2369
(219) 949-7696
(219) 949-7694
Mailing address
1512 BURR ST, GARY, IN 46406-2369
(219) 949-7696
(219) 949-7694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000263283
ANTHEM
IN
05
—
200156590
—
IN
05
—
200161910
—
IN
Enumeration date
11/28/2006
Last updated
01/12/2011
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