Organization
COMMUNITY HOME HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY FISKE RN (ADMINISTRATOR / DON)
(219) 324-5005
Entity
Organization
Contact information
Practice address
240 COMMERCE SQ, MICHIGAN CITY, IN 46360-3282
(219) 324-5005
(219) 736-1385
Mailing address
240 COMMERCE SQ, MICHIGAN CITY, IN 46360-3282
(219) 324-5005
(219) 736-1385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-002684-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323290A
—
IN
Enumeration date
05/17/2006
Last updated
09/08/2021
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