Organization
NORTHWEST INDIANA HEALTHY START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RISE ROSS RATNEY (PROJECT DIRECTOR)
(219) 989-3939
Entity
Organization
Contact information
Practice address
6939 GRAND AVE, HAMMOND, IN 46323-2550
(219) 989-3939
(219) 989-3930
Mailing address
6939 GRAND AVE, HAMMOND, IN 46323-2550
(219) 989-3939
(219) 989-3930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064800
—
IN
Enumeration date
06/09/2009
Last updated
06/09/2009
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