# MDM HOME HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043203383
- **Authorized official:** KEVIN R RUARK (CEO)
- **Authorized official phone:** (734) 414-9990

## Contact information

- **Practice address:** 9150 E 109TH AVE, SUITE 3A, CROWN POINT, IN 46307-7687
- **Practice address phone:** (219) 310-8537
- **Practice address fax:** (219) 779-9494
- **Mailing address:** 801 W ANN ARBOR TRL, SUITE 201, PLYMOUTH, MI 48170-1694
- **Mailing address phone:** (734) 414-9990
- **Mailing address fax:** (734) 414-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 10-009481-1 | IN | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 01/30/2012