Organization
SUSAN'S HOME SWEET HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NICOLE LINSON (OWNER)
(260) 433-1473
Entity
Organization
Contact information
Practice address
10508 LAGOON DRIVE, GRABILL, IN 46741-9709
(260) 433-1473
Mailing address
10508 LAGOON DR, GRABILL, IN 46741-9709
(260) 433-1473
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
013992
IN
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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