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Organization

LADIM HOME CARE SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOSUNMOLA KARAMAT OKENLA (ADMINISTRATOR)
(219) 276-4962
Entity
Organization

Contact information

Practice address
5246 HOHMAN AVE, SUITE 307C, HAMMOND, IN 46320-2248
(219) 276-4962
Mailing address
5246 HOHMAN AVE, SUITE 307C, HAMMOND, IN 46320-1733
(219) 276-4962

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
14-013323-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14-013323-1
IN
Enumeration date
03/04/2014
Last updated
03/04/2014
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