Organization
FAMILY HOSPICE OF NORTHEAST INDIANA INC
Active
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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