Organization
FOR HIS PRAISE HOME HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE ANNALOU RUSH CNA (OWNER/OPERATOR)
(219) 226-8365
Entity
Organization
Contact information
Practice address
1503 STURDY RD, VALPARAISO, IN 46383-3856
(219) 226-8365
Mailing address
PO BOX 1602, VALPARAISO, IN 46384-1602
(219) 226-8365
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200936820A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200936820A
—
IN
Enumeration date
07/25/2014
Last updated
07/25/2014
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