Organization
OPTION HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOSEPH LICKTEIG RPH (OWNER/ADMINISTRATOR)
(219) 736-5334
Entity
Organization
Contact information
Practice address
9111 BROADWAY, SUITE L, MERRILLVILLE, IN 46410-8122
(219) 736-5334
(219) 736-5335
Mailing address
9111 BROADWAY, SUITE L, MERRILLVILLE, IN 46410-8122
(219) 736-5334
(219) 736-5335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-008882-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034260
—
IN
Enumeration date
03/20/2006
Last updated
12/30/2013
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