Provider Demographics
NPI:1659941987
Name:JUST LIKE FAMILY-PRIVATE CARE MANAGEMENT CORP.
Entity Type:Organization
Organization Name:JUST LIKE FAMILY-PRIVATE CARE MANAGEMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-610-6240
Mailing Address - Street 1:10791 BITTERSWEET LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2201
Mailing Address - Country:US
Mailing Address - Phone:317-480-1990
Mailing Address - Fax:
Practice Address - Street 1:10791 BITTERSWEET LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2201
Practice Address - Country:US
Practice Address - Phone:317-480-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health