| NPI | 1649239666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH LICKTEIG Owner/Administrator 219-736-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 05-008882-1) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-12-30 |