111 Home Health Care Agency

NPI #1245558808 in Elkhart, Indiana

Provider Information

NPI Number
1245558808
Entity Type
Organization
Organization Name
111 Home Health Care Agency
Primary Specialty
Home Health
Enumeration Date
May 6, 2010
Last Updated
May 6, 2010

Practice Location

Address
336 W GARFIELD AVE
State
Indiana
ZIP Code
46516-2501
Phone
(574) 293-6682

Authorized Official

Name
MRS. LAVERN I SUGGS, LPN
Title
CEO
Phone
(574) 293-6682

Specialties & Taxonomy Codes

Specialty
Home Health

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