Organization
PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
(601) 268-1842
Entity
Organization
Contact information
Practice address
3500 DEPAUW BLVD, SUITE 1041, INDIANAPOLIS, IN 46268-1170
(317) 875-6825
(317) 802-2259
Mailing address
PO BOX 16809, HATTIESBURG, MS 39404-6809
(601) 268-1842
(601) 268-7898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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