Organization
UNIVERSAL SERVICE AND MORE, LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUE VAILLE HOLLINS MPA, MHA, MHSA (CHIEF EXECUTIVE OFFICER)
(219) 796-7764
Entity
Organization
Contact information
Practice address
487 BROADWAY, SUITE 109, GARY, IN 46402-1231
(219) 796-7764
Mailing address
PO BOX 296, GRIFFITH, IN 46319-0296
(219) 796-7764
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
090121751
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200962330 A
LEGACY PROVIDER IDENTIFIER
IN
Enumeration date
02/23/2010
Last updated
03/21/2025
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