NPI 1033902887
Sams Place 78 LLC
Practice location
- Address
- 3424 Fir St # 1, East Chicago, IN 46312-2014
- Phone
- (773) 971-0439
- Mailing address
- 7951 Calumet Ave # 1102, Munster, IN 46321-1215
Authorised official
- Name
- Shavonne Morrison
- Title
- Ceo
- Phone
- (219) 613-3478
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033902887
- Entity type
- Organization
- NPI issued
- 26 May 2025
- Record last updated
- 26 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.