Individual
MATTEARA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 FIELD ST, HAMMOND, IN 46320-2659
(219) 614-3591
Mailing address
1104 FIELD ST, HAMMOND, IN 46320-2659
(219) 614-3591
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
22-015762-1
IN
253Z00000X
In Home Supportive Care Agency
Primary
23-015762-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1746706
—
IN
Enumeration date
09/19/2022
Last updated
04/29/2025
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