Individual
SHAVOUYA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 BROADWAY STE A5, GARY, IN 46408-3364
(708) 575-9274
Mailing address
4444 BROADWAY STE A5, GARY, IN 46408-3364
(708) 575-9274
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
05/06/2026
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