Wanda London
Individual provider Active NPI Case Manager/Care Coordinator · Merrillville, IN
NPI 1740410604 · NPPES record last updated Jul 24, 2009
Key facts
- NPI
- 1740410604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 5490 Broadway
L3
Merrillville, IN 46410-1675 - Phone
- (219) 985-6170
- Fax
- (219) 985-6097
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Task Force of Laporte and Porter Counties | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | IN | Yes |
Addresses
Primary practice location
5490 Broadway
L3
Merrillville, IN 46410-1675
Mailing address
5490 Broadway
L3
Merrillville, IN 46410-1675
Phone (219) 985-6170
Other providers in Merrillville, IN
- Angela Lisak
- Vincent Liszewski
- Adrienne Little
- Karynthia Tachiana Little
- LMR Indiana Home Health Inc
- Aaron William Longale
- Longe Optical
- Lizbeth Paola Lopez Garcia
- Breanna Lopez
- Camille Lopez
All providers in Merrillville, IN · Case Manager/Care Coordinator in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.