Organization
WELLPOINT HOME HEALTH,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON J MCKENZIE JR. MBA (PRESIDENT/CFO)
(773) 732-8790
Entity
Organization
Contact information
Practice address
9245 CALUMET AVE, SUITE 107, MUNSTER, IN 46321-2821
(773) 732-8790
(773) 253-9961
Mailing address
9245 CALUMET AVE, SUITE 107, MUNSTER, IN 46321-2821
(773) 732-8790
(773) 253-9961
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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