# CORNWINE HOMECARE LLC

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

## Provider details

- **NPI number:** 1578382487
- **Authorized official:** OLUSEGUN OGUNYEMI (OWNER)
- **Authorized official phone:** (317) 603-6878

## Contact information

- **Practice address:** 3318 KENT DR, BROWNSBURG, IN 46112-5801
- **Practice address phone:** (317) 603-6878
- **Mailing address:** 3318 KENT DR, BROWNSBURG, IN 46112-5801

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024