Organization
PRIME CARE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFZAL J MALIK (ADMINISTRATOR)
(219) 769-6896
Entity
Organization
Contact information
Practice address
2632 W 81ST AVE, MERRILLVILLE, IN 46410-5235
(219) 769-6896
(219) 769-7032
Mailing address
2632 W 81ST AVE, MERRILLVILLE, IN 46410-5235
(219) 769-6896
(219) 769-7032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-003155-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200399260A
—
IN
Enumeration date
05/27/2005
Last updated
10/24/2013
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