Individual
JESSICA FULLILOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3795 LINCOLN ST, GARY, IN 46408-2115
(219) 413-1727
Mailing address
3795 LINCOLN ST, GARY, IN 46408-2115
(219) 413-1727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
$$$$$$$$$
IN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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