Organization
FOMAS HOME CARE SERVICES LLC
Active
Other names
FOMAS HOME CARE SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MASSALEY (DESIGNATED MANAGER)
(317) 201-2462
Entity
Organization
Contact information
Practice address
7610 BOLERO DR, CAMBY, IN 46113-5506
(317) 201-2462
Mailing address
7610 BOLERO DR, CAMBY, IN 46113-5506
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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