Organization
ABSOLUTE CARE OF HAMMOND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS BERNADETTE LARK (OWNER)
(219) 933-8157
Entity
Organization
Contact information
Practice address
534 CONKEY ST STE 2, HAMMOND, IN 46324-1146
(219) 933-8157
(219) 933-8273
Mailing address
534 CONKEY ST STE 2, HAMMOND, IN 46324-1146
(219) 933-8157
(219) 933-8273
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385940A
—
IN
05
—
200431610A
—
IN
Enumeration date
03/01/2007
Last updated
06/13/2008
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