Individual
TAMMY LORRAINE VAUTAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 S 16TH ST, ELWOOD, IN 46036-2406
(765) 717-6181
(765) 557-7153
Mailing address
807 S 16TH ST, ELWOOD, IN 46036-2406
(765) 717-6181
(765) 557-7153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
376J00000X
Homemaker
—
IN
385H00000X
Respite Care
—
IN
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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