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Organization

ACL HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRIA CONWELL (OWNER/ADMINISTRATOR)
(219) 628-5672
Entity
Organization

Contact information

Practice address
5835 JESSICA AVE, PORTAGE, IN 46368-1662
(219) 796-7035
Mailing address
6111 HARRISON ST, SUITE 104, MERRILLVILLE, IN 46410-2969
(219) 951-0281
(219) 951-0283

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300019795
IN
Enumeration date
08/16/2011
Last updated
01/04/2020
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