Organization
HRS PRIVATE DUTY OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MIKULAK (OWNER)
(312) 604-3740
Entity
Organization
Contact information
Practice address
1806 S. HIGHLAND AVE, LOMBARD, IL 60148
(312) 604-3742
Mailing address
223 N BROAD STREET SUITE A, GRIFFITH, IN 46319-2220
(312) 604-3742
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
16-013872-1
IN
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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