Individual
AMANDA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S LAKE ST STE B, GARY, IN 46403-2928
(219) 718-4384
Mailing address
650 S LAKE ST STE B, GARY, IN 46403-2928
(219) 718-4384
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-017884-1
IN
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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