Individual
JAMI LEANNE HALLIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCCHHA
Contact information
Practice address
5888 W KING FISHER DR, MENTONE, IN 46539-9313
(574) 377-4812
Mailing address
5888 W KING FISHER DR, MENTONE, IN 46539-9313
(574) 377-4812
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
20255097P
IN
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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