Organization
COMMUNITY CARE HUB OF INDIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VANDAGRIFFT (BOARD MEMBER)
(260) 745-1200
Entity
Organization
Contact information
Practice address
8101 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4163
(260) 745-1200
Mailing address
8101 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4163
(260) 745-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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