Lana Blakemore
Individual provider Active NPI Mental Illness Community Based Residential Treatment Facility · Gary, IN
NPI 1831590405 · NPPES record last updated Sep 14, 2014
Key facts
- NPI
- 1831590405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Practice address
- 1100 W 6TH Ave
Gary, IN 46402-1711 - Phone
- (219) 885-4264
- NPI assigned
- Sep 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
1100 W 6TH Ave
Gary, IN 46402-1711
Mailing address
1100 W 6TH Ave
Gary, IN 46402-1711
Phone (219) 885-4264
Other providers in Gary, IN
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- Beyond the Spectrum Corp
- Sharelle Nicole Bishop
- Black Pearl Life Services LLC
- Terald Blakey
- Charae Bland
- Bliss Care Transportaion
- Adella Blondet
- Bmo Home Health Care Inc
All providers in Gary, IN · Mental Illness Community Based Residential Treatment Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2014. 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.