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Organization
INCARE HOME HEALTHCARE, INC.
Active
Organization
INCARE HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE FOZZARD (PRESIDENT/CEO)
(800) 896-0442
Entity
Organization
Contact information
Practice address
425 JOLIET ST, SUITE 312, DYER, IN 46311-1765
(800) 896-0442
(219) 322-7538
Mailing address
425 JOLIET ST, SUITE 312, DYER, IN 46311-1765
(800) 896-0442
(219) 322-7538
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
08-007377-1
IN
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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