Organization
FAMILY HOSPICE OF NORTHEAST INDIANA INC
Active
Other names
Family Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUEANN M. REYNOLDS (PRESIDENT & CEO)
(260) 589-8598
Entity
Organization
Contact information
Practice address
265 W WATER ST, BERNE, IN 46711-1547
(260) 589-8598
(260) 589-8079
Mailing address
265 W WATER ST, BERNE, IN 46711-1547
(260) 589-8598
(260) 589-8079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100053401
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097904
BLUE CROSS
IN
05
—
100389970A
—
IN
05
—
100413650A
—
IN
05
—
200035580A
—
IN
Enumeration date
07/20/2006
Last updated
11/28/2011
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