Organization
SANDRA A SCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A SCOTT (SOLE PROPRIETOR)
(219) 977-8889
Entity
Organization
Contact information
Practice address
300 TAFT ST, GARY, IN 46404-1016
(219) 882-1991
Mailing address
PO BOX 4416, GARY, IN 46404-0416
(219) 882-1991
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974080A
—
IN
Enumeration date
04/28/2010
Last updated
04/28/2010
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