Organization
STRUCTURED FAMILY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS SHROCK (CEO)
(574) 288-8800
Entity
Organization
Contact information
Practice address
1290 E IRELAND RD STE V100-300, SOUTH BEND, IN 46614-3474
(574) 288-8800
(574) 288-7350
Mailing address
1290 E. IRELAND ROAD, SUITE V100-BOX 300, SOUTH BEND, IN 46614
(574) 288-8800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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