# WIGENA HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WIGENA CLERVIL SOLE MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003610973
- **Authorized official:** WIGENA CLERVIL (OWNER)
- **Authorized official phone:** (561) 853-8363

## Contact information

- **Practice address:** 735 HORSESHOE DR APT 204, PLAINFIELD, IN 46168-2870
- **Practice address phone:** (561) 853-8363
- **Mailing address:** 735 HORSESHOE DR APT 204, PLAINFIELD, IN 46168-2870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 04/01/2025