Organization
COMMUNITY COMPANION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED AFAB (MANAGER)
(888) 474-0454
Entity
Organization
Contact information
Practice address
2842 HIGHWAY AVE, HIGHLAND, IN 46322-1629
(888) 474-0454
(219) 836-1849
Mailing address
2842 HIGHWAY AVE, HIGHLAND, IN 46322-1629
(888) 474-0454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
18-0143001-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-014300-1
INDIANA DEPARTMENT OF HEALTH
IN
Enumeration date
02/23/2018
Last updated
02/23/2018
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