Organization
FAMILY HOSPICE OF NORTHEAST INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUEANN MCDONNA REYNOLDS (CEO)
(260) 589-8598
Entity
Organization
Contact information
Practice address
108 S JEFFERSON ST, BERNE, IN 46711-2118
(260) 589-8598
(260) 589-8079
Mailing address
108 S JEFFERSON ST, BERNE, IN 46711-2118
(260) 589-8598
(260) 589-8079
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
060102121
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111173
BLUE CROSS BLUE SHIELD
IN
05
—
200163790A
—
IN
Enumeration date
11/06/2006
Last updated
01/12/2017
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