# TOGETHER HOMECARE OF FORT WAYNE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Team Select Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124566138
- **Authorized official:** MIKE LOVELL (VICE PRESIDENT)
- **Authorized official phone:** (480) 618-5760

## Contact information

- **Practice address:** 5614 INDUSTRIAL RD, FORT WAYNE, IN 46825-5126
- **Practice address phone:** (260) 205-8000
- **Mailing address:** 2999 N 44TH ST STE 100, PHOENIX, AZ 85018-7247
- **Mailing address phone:** (480) 618-5760

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 12/05/2023