Organization
MOBILE HEALTHCARE OF NORTHWEST INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THEODORA KOKTSIDIS MEDICAL ASSISTANT (HEALTH ADMINISTRATOR)
(219) 677-7018
Entity
Organization
Contact information
Practice address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429
Mailing address
346 FOX TRAIL CT, HOBART, IN 46342-2351
(219) 677-7018
(219) 940-9429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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