Organization
MOORE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUDEEN ANGELETY-MOORE RN (ADMINISTRATOR)
(219) 392-6858
Entity
Organization
Contact information
Practice address
9000 INDIANAPOLIS BLVD STE A, HIGHLAND, IN 46322-2501
(219) 923-2655
(219) 923-2640
Mailing address
9000 INDIANAPOLIS BLVD STE A, HIGHLAND, IN 46322-2501
(219) 923-2655
(219) 923-2640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06-009757-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200112780A
WAIVER
IN
05
—
200131190A
—
IN
Enumeration date
01/18/2007
Last updated
09/17/2009
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