Organization
SPRING OF LIFE HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAAVA L WEST (ADMINISTRATOR)
(757) 472-5680
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, SUITE 104, MERRILLVILLE, IN 46410-2969
(757) 472-5680
Mailing address
6111 HARRISON ST, SUITE 104, MERRILLVILLE, IN 46410-2969
(757) 472-5680
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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