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Terria Conwell

In Home Supportive Care in Portage, IN. Individual provider (NPI-1).

NPI number1982243408
StatusActive
Last updated in NPPESJul 21, 2020

Details

NPI
1982243408
Entity type
Individual (NPI-1)
Name
Terria Conwell
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 1, 2020
Certification date
Jul 21, 2020
Last updated
Jul 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care–INYes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

5835 Jessica Ave
Portage, IN 46368-1662

Phone 219-628-5672

Mailing address

5835 Jessica Ave
Portage, IN 46368-1662

Phone 219-628-5672

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Other In Home Supportive Care Agency providers in Portage, IN

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