Organization
PATIENT ADVOCATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RAYMOND BUIKEMA (DIRECTOR OF OPERATIONS)
(219) 663-1430
Entity
Organization
Contact information
Practice address
1290 ARROWHEAD CT, SUITE B, CROWN POINT, IN 46307-8222
(219) 663-1430
(219) 663-1431
Mailing address
PO BOX 11440, MERRILLVILLE, IN 46411-1440
(219) 663-1430
(219) 663-1431
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000125A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200244240A
—
IN
Enumeration date
11/29/2006
Last updated
07/14/2009
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