Organization
BOA & ASSOCIATES
Active
Other names
Crown Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA B WATKINS (PAYROLL MANAGER)
(219) 887-5878
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, SUITE 208, MERRILLVILLE, IN 46410-2969
(219) 887-5878
(219) 887-5777
Mailing address
6111 HARRISON ST, SUITE 208, MERRILLVILLE, IN 46410-2969
(219) 887-5878
(219) 887-5777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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