Organization
HOME HEALTH CRUSADERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA M MEMON (ADMINISTRATOR)
(219) 763-0404
Entity
Organization
Contact information
Practice address
3191 WILLOWCREEK RD, PORTAGE, IN 46368-4446
(219) 763-0404
(219) 209-9170
Mailing address
3191 WILLOWCREEK RD, PORTAGE, IN 46368-4446
(219) 763-0404
(219) 209-9170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060094041
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097310A
—
IN
Enumeration date
03/30/2007
Last updated
07/06/2015
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