Organization
PURE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LEE (OWNER)
(317) 537-0030
Entity
Organization
Contact information
Practice address
777 E MAIN ST STE 211, WESTFIELD, IN 46074-5300
(317) 670-0234
(317) 876-8293
Mailing address
777 E MAIN ST STE 211, WESTFIELD, IN 46074-5300
(317) 537-0030
(317) 876-8293
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083120A
—
IN
Enumeration date
07/28/2011
Last updated
05/06/2022
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