# SALAM HOME CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1528836731
- **Authorized official:** KHIN HTWAY THAW MA (MANAGER)
- **Authorized official phone:** (260) 206-7929

## Contact information

- **Practice address:** 4202 WARSAW ST, FORT WAYNE, IN 46806-1842
- **Practice address phone:** (260) 206-7929
- **Mailing address:** 7631 GATHINGS DR, FORT WAYNE, IN 46816-2756
- **Mailing address phone:** (260) 206-7929

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/18/2023