Individual
MRS. LORRAINE JELKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 TYLER ST, MERRILLVILLE, IN 46410-5346
(219) 713-1034
Mailing address
8008 TYLER ST, MERRILLVILLE, IN 46410-5346
(219) 713-1034
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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