# FOOTE FAMILY HOME CARE, LLC

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

## Provider details

- **NPI number:** 1356716237
- **Authorized official:** LATOYA JOHNSON (OWNER)
- **Authorized official phone:** (317) 213-2039

## Contact information

- **Practice address:** 7211 MIAHQUEAH CT, FORT WAYNE, IN 46815-7943
- **Practice address phone:** (260) 402-7091
- **Mailing address:** 7211 MIAHQUEAH CT, FORT WAYNE, IN 46815-7943
- **Mailing address phone:** (260) 402-7091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 16-013977-1 | IN | Yes |

## Other

- **Enumeration date:** 12/03/2015
- **Last updated:** 01/18/2017
