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Organization

IN HOME HEALTH LLC

Active
Other names
Heartland Home Health Care and Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization

Contact information

Practice address
4415 HARRISON ST, SUITE 403, HILLSIDE, IL 60162-1910
(708) 234-2870
(708) 236-9209
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
411458218006
IL
Enumeration date
06/05/2006
Last updated
10/14/2008
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