Organization
CANARY HOME HEALTH CARE OF INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANIFF LASTER (ADMINISTRATOR)
(219) 333-8498
Entity
Organization
Contact information
Practice address
9111 BROADWAY STE I, MERRILLVILLE, IN 46410-8122
(219) 333-8498
Mailing address
9111 BROADWAY STE II, MERRILLVILLE, IN 46410-7002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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