Organization
MICHIANA COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAYAL KOUL-KUMAR PT (OWNER/CEO)
(574) 343-6954
Entity
Organization
Contact information
Practice address
12655 STATE ROAD 23, GRANGER, IN 46530-9641
(574) 247-7000
(574) 272-4000
Mailing address
12655 STATE ROAD 23, GRANGER, IN 46530-9641
(574) 247-7000
(574) 272-4000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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