Organization
ASSIST PSA LLC
Active
Other names
Assist PSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON FORREST HOGAN (MANAGER)
(773) 366-0258
Entity
Organization
Contact information
Practice address
4907 IVY ST, EAST CHICAGO, IN 46312-3744
(219) 231-1182
Mailing address
4907 IVY ST, EAST CHICAGO, IN 46312-3744
(219) 231-1182
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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