Organization
HUGHES COMMUNITY REHABILITATION INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAKEISHA L HUGHES (CHIEF EXECUTIVE OFFICER)
(219) 902-9635
Entity
Organization
Contact information
Practice address
6648 WIND JAMMER WAY APT 103, PORTAGE, IN 46368-6960
(219) 902-9635
Mailing address
6648 WIND JAMMER WAY APT 103, PORTAGE, IN 46368-6960
(219) 902-9635
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
IN
Enumeration date
07/19/2016
Last updated
07/19/2016
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