# MINA HOME CARE AGENCY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215636154
- **Authorized official:** NA HU (OWNER)
- **Authorized official phone:** (260) 443-9698

## Contact information

- **Practice address:** 3243 RICE CT, LANSING, MI 48911-1544
- **Practice address phone:** (260) 443-9698
- **Mailing address:** 2523 SHERBORNE BLVD, FORT WAYNE, IN 46805-3054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023