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Organization

OLDIES BUT GOODIES ADULT DAY CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA YVETT BIDDINGS LPN (EXECUTIVE DIRECTOR)
(219) 886-1670
Entity
Organization

Contact information

Practice address
741 W 25TH AVE, SAME, GARY, IN 46407-3524
(219) 886-1670
(219) 886-1670
Mailing address
741 W 25TH AVE, SAME, GARY, IN 46407-3524
(219) 886-1670
(219) 886-1670

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200266600
IN
Enumeration date
10/17/2006
Last updated
05/23/2008
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