Organization
PRIORITY REHAB HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WISEMAN (ADMINISTRATOR)
(317) 688-8232
Entity
Organization
Contact information
Practice address
11576 W US HIGHWAY 30 STE E, WANATAH, IN 46390-9300
(219) 733-1001
(219) 733-1002
Mailing address
11576 W US HIGHWAY 30 STE E, WANATAH, IN 46390-9300
(219) 733-1001
(219) 733-1002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
02/22/2018
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