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Contact Information

MACKENNA L VANDERTUIN
400 11TH CIRCLE SE
DE MOTTE, IN46310
 Phone: 219-742-7641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1447872197
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/15/2020
Last updated 05/15/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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