# PHYSICIANS HOMECARE, INC

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

## Provider details

- **NPI number:** 1780671990
- **Authorized official:** MRS. MADLON L DRAYER RN (CEO)
- **Authorized official phone:** (765) 447-3443

## Contact information

- **Practice address:** 210 PROFESSIONAL CT, LAFAYETTE, IN 47905-5105
- **Practice address phone:** (765) 447-3443
- **Practice address fax:** (765) 447-5877
- **Mailing address:** 210 PROFESSIONAL CT, LAFAYETTE, IN 47905-5105
- **Mailing address phone:** (765) 447-3443
- **Mailing address fax:** (765) 447-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 05-005352-1 | IN | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 12/21/2009
