Organization
PEDIATRIC NURSING SPECIALISTS OF INDIANA, INC.
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
(601) 268-1842
Entity
Organization
Contact information
Practice address
6523 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 432-9699
(260) 432-5617
Mailing address
PO BOX 16809, HATTIESBURG, MS 39404-6809
(601) 268-1842
(601) 268-7898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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