Organization
FOR HIS PRAISE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE ANNALOU RUSH CNA (OWNER/OPERATOR)
(219) 290-3590
Entity
Organization
Contact information
Practice address
1201 LAPORTE AVE, UNIT 4418, VALPARAISO, IN 46383-5847
(219) 242-5486
Mailing address
1201 LAPORTE AVE, UNIT 4418, VALPARAISO, IN 46383-5847
(219) 242-5486
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200936820A
—
IN
Enumeration date
03/10/2011
Last updated
07/17/2013
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