Organization
CONCEPT CARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WHITE PTA (DIRECTOR OF OPERATIONS)
(154) 514-9296
Entity
Organization
Contact information
Practice address
3222 MISHAWAKA AVE, SOUTH BEND, IN 46615-2352
(574) 387-5459
Mailing address
3222 MISHAWAKA AVE, SOUTH BEND, IN 46615-2352
(574) 387-5459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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