MS. Jacquetta Lewis
MS. Jacquetta Lewis is a Home Health Agency in Gary, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
413 Old Duneland PkwyGary, IN 46403-2398
Phone: (312) 682-4213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 202206151600328 (IN) |
|---|
Record details
| NPI number | 1962134874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | June 29, 2022 |
| Certification date | June 29, 2022 |
| Mailing address | 413 Old Duneland Pkwy, Gary, IN 46403-2398 |
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