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Contact Information

HOMEFRONT FAMILY SERVICES
9909 E 100 S
GREENTOWN, IN46936-9163
 Phone: 765-628-0605
 Fax: 765-628-3639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HOMEFRONT FAMILY SERVICES · (Female)

NPI # 1073789467
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2008
Last updated 05/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 05006820
  • IN License # 22004012
  • IN License # 31002242
  • IN License # 37001000
  • IN Medicaid 200728940
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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