Organization
PRECIOUS HOSPICE OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY MASON JR. (ADMINISTRATOR)
(773) 344-1833
Entity
Organization
Contact information
Practice address
5241 FOUNTAIN DR STE A-B, CROWN POINT, IN 46307-5323
(219) 400-0564
(219) 402-0763
Mailing address
5241 FOUNTAIN DR STE A-B, CROWN POINT, IN 46307-5323
(219) 400-0564
(219) 402-0763
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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