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Organization

VISITING ANGEL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZAY YA (ADMIN)
(260) 920-8251
Entity
Organization

Contact information

Practice address
5608 DECATUR RD STE 101, FORT WAYNE, IN 46806-3020
(260) 920-8251
Mailing address
5608 DECATUR RD STE 101, FORT WAYNE, IN 46806-3020
(260) 920-8251

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24-018529-1
IN
Enumeration date
09/03/2025
Last updated
09/03/2025
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