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NPI 1245558808

OrganizationActive

111 Home Health Care Agency

NPI 1245558808 · Home Health Agency · Elkhart, IN

Provider details

NPI number: 1245558808
Entity type: Organization
Primary specialty: Home Health AgencyAgencies
Authorized official: Lavern Suggs, Ceo

Practice location

336 W Garfield Ave

Elkhart, IN 46516-2501

Phone: (574) 293-6682

Fax: (574) 293-7947

More IN providers

Mailing address

336 W Garfield Ave

Elkhart, IN 46516-2501

Registry dates

Enumerated: 2010-05-06
Last updated: 2010-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

111 Home Health Care Agency — NPI 1245558808, Elkhart, IN | NPI Central