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Contact Information

EUGENIA BLACK, OWNER
51541 BITTERSWEET RD
GRANGER, IN46530-4987
 Phone: 574-400-7270
 Fax: 574-222-2658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for EUGENIA BLACK · (Female)

NPI # 1811569106
Status Active
Credentials OWNER
Entity Individual
Enumeration date 07/15/2021
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN Medicaid 05
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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