# MARY OAKS HOME CARE LLP

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

## Provider details

- **NPI number:** 1881429439
- **Authorized official:** SHUNTEA JENKINS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (260) 994-0202

## Contact information

- **Practice address:** 4930 ILLINOIS RD STE 6, FORT WAYNE, IN 46804-5105
- **Practice address phone:** (888) 889-8963
- **Mailing address:** 4930 ILLINOIS RD STE 6, FORT WAYNE, IN 46804-5105
- **Mailing address phone:** (888) 299-4422

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 11/06/2025