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Organization
A TREE OF LIFE HOME HEALTH CARE CORP
Active
Organization
A TREE OF LIFE HOME HEALTH CARE CORP
Active
Other names
A TREE OF LIFE HOME HEALTH CARE CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA BUTLER NP (MANAGER)
(317) 447-4406
Entity
Organization
Contact information
Practice address
110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
(317) 506-0024
(317) 350-0043
Mailing address
110 E WAYNE ST, 12TH FLOOR, FORT WAYNE, IN 46802
(317) 506-0024
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
364SH0200X
Home Health Clinical Nurse Specialist
—
NULL
364SH0200X
Home Health Clinical Nurse Specialist
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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