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Organization

BAY GROUP HEALTHCARE NORTHWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAXIM AZAROV (ADMINISTRATOR)
(773) 551-1222
Entity
Organization

Contact information

Practice address
138 S MAIN ST STE 303, CROWN POINT, IN 46307-4089
(773) 551-1222
Mailing address
8569 DOUBLETREE DR N, CROWN POINT, IN 46307-9805
(773) 551-1222

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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