Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK J HUGHES III, COTA
Active Sole ProprietorMR. JACK J HUGHES III, COTA is a Nursing Facility/Intermediate Care Facility healthcare provider located in PERU, Indiana. NPI 1528309267 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · PERU, IN
Registration Details
- NPI Number
- 1528309267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2013 (13.455793239101 yrs)
- Last Updated
- Mar 5, 2013
- License
-
32002213A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1850 W MATADOR STPERU, IN, 469703711Browse IN providers · Browse ZIP 46970
- Phone
- 7656895000
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.