Organization
ATLANTIC HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA MCPHERSON (VICE PRESIDENT)
(574) 913-0806
Entity
Organization
Contact information
Practice address
2630 PRAIRIE AVE APT G208, SOUTH BEND, IN 46614-4289
(574) 931-0806
(574) 233-9565
Mailing address
2630 PRAIRIE AVE APT G208, SOUTH BEND, IN 46614-4289
(574) 931-0806
(574) 233-9565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/30/2019
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