Organization
HOMEFRONT FAMILY SERVICES
Active
Organization
HOMEFRONT FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS (ADMINISTRATOR)
(765) 628-0605
Entity
Organization
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Mailing address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
32002754A
IN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
Update your record
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