Organization
AT HOME QUALITY CARE NON MEDICAL SVC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA NICOLE RAMIREZ (PART OWNER)
(574) 862-0025
Entity
Organization
Contact information
Practice address
111 N. ELKHART ST., WAKARUSA, IN 46573-0731
(574) 862-0025
(574) 862-0035
Mailing address
PO BOX 731, 111 N. ELKHART ST., WAKARUSA, IN 46573-0731
(574) 862-0025
(574) 862-0035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200981200A
—
IN
Enumeration date
02/12/2007
Last updated
07/09/2010
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