Organization
BLUE SKIES HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA GUZMAN R.N., M.S., C.N.S., (DIRECTOR)
(219) 554-0688
Entity
Organization
Contact information
Practice address
2714 169TH ST, HAMMOND, IN 46323-1508
(219) 554-0688
(219) 554-1773
Mailing address
1520 PROVIDENT DR, WARSAW, IN 46580-3291
(574) 372-3800
(574) 372-3810
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932171634
FAMILY NURSE PRACTITIONER
IN
Enumeration date
08/13/2006
Last updated
05/15/2019
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