Organization
ACTIVE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSITA CANONO BSN, RN (ADMINISTRATOR, DIRECTOR OF NURSING)
(219) 922-0814
Entity
Organization
Contact information
Practice address
2116 45TH ST, HIGHLAND, IN 46322-3742
(219) 922-0814
(219) 922-0652
Mailing address
2116 45TH ST, HIGHLAND, IN 46322-3742
(219) 922-0814
(219) 922-0652
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
08-006656-1
IN
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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