Organization
DERBY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DERBY (OWNER)
(574) 440-2869
Entity
Organization
Contact information
Practice address
1657 COMMERCE DR, SOUTH BEND, IN 46628-1546
(574) 440-2869
Mailing address
1657 COMMERCE DR, SOUTH BEND, IN 46628-1546
(574) 440-2869
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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