Organization
MIAMI HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIXON MWOSE (CEO)
(574) 276-9831
Entity
Organization
Contact information
Practice address
1912 MIAMI ST, SOUTH BEND, IN 46613-2915
(574) 276-5026
Mailing address
1912 MIAMI ST, SOUTH BEND, IN 46613-2915
(574) 276-5026
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
IN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IN
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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