Organization
AMY KENDALL DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R KENDALL OTR (OWNER)
(574) 315-3351
Entity
Organization
Contact information
Practice address
52160 FIELDSTONE LN, GRANGER, IN 46530-9266
(574) 315-3351
(574) 272-1935
Mailing address
PO BOX 410, GRANGER, IN 46530-0410
(574) 315-3351
(574) 272-1935
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31002539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200703370A
—
IN
Enumeration date
01/11/2008
Last updated
01/11/2008
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