Provider Demographics
NPI:1447594718
Name:FAVOR HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:FAVOR HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-227-8900
Mailing Address - Street 1:425 JOLIET ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1765
Mailing Address - Country:US
Mailing Address - Phone:219-227-8900
Mailing Address - Fax:219-227-8905
Practice Address - Street 1:425 JOLIET ST
Practice Address - Street 2:SUITE 219
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1765
Practice Address - Country:US
Practice Address - Phone:219-227-8900
Practice Address - Fax:219-227-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health