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Ms. Jacquetta Lewis
Home Health Agency in Gary, Indiana
NPI 1962134874

Jacquetta Lewis is a Home Health Agency based in Gary, IN. Jacquetta Lewis practices in Gary, IN. The NPI Number for Jacquetta Lewis is 1962134874 and holds a License No. 202206151600328 (Indiana).

The current practice location address for Jacquetta Lewis is 413 Old Duneland Pkwy, Gary, IN and can be reached out via phone at 312-682-4213. You can also correspond with Jacquetta Lewis through the mailing address at 413 OLD DUNELAND PKWY, GARY, IN - 46403-2398 (mailing address contact number: 312-682-4213).

Location: 413 Old Duneland Pkwy, Gary, IN, 46403-2398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962134874
Provider Name
Jacquetta Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
413 Old Duneland Pkwy, Gary, IN, 46403-2398
Phone Number
312-682-4213
Fax Number
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 Old Duneland Pkwy
City
Gary
State
Indiana
Zip
46403-2398
Phone Number
312-682-4213
Fax Number
person
Provider Business Mailing Address Details
Address
413 Old Duneland Pkwy
City
Gary
State
Indiana
Zip
46403-2398
Phone Number
312-682-4213
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
202206151600328 (Indiana)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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