Organization
BMO HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSIE R MCKINLEY (ADMINISTRATOR)
(219) 977-9099
Entity
Organization
Contact information
Practice address
1970 GRANT STREET, GARY, IN 46404
(219) 977-9099
(219) 977-9013
Mailing address
1970 GRANT STREET, GARY, IN 46404
(219) 977-9099
(219) 977-9013
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
17-009945-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200130560A
—
IN
01
—
200141880A
WAIVER
IN
Enumeration date
10/12/2006
Last updated
02/27/2017
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