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Organization
FOMAS HOME CARE SERVICES LLC
Active
Organization
FOMAS HOME CARE SERVICES LLC
Active
Other names
FOMAS HOME CARE SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MASSALEY (DESIGNATED MANAGER)
(317) 201-2462
Entity
Organization
Contact information
Practice address
7610 BOLERO DR, CAMBY, IN 46113-5506
(317) 201-2462
Mailing address
7610 BOLERO DR, CAMBY, IN 46113-5506
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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