Organization
FOOTE FAMILY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA JOHNSON (OWNER)
(317) 213-2039
Entity
Organization
Contact information
Practice address
7211 MIAHQUEAH CT, FORT WAYNE, IN 46815-7943
(260) 402-7091
Mailing address
7211 MIAHQUEAH CT, FORT WAYNE, IN 46815-7943
(260) 402-7091
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
16-013977-1
IN
Other
Enumeration date
12/03/2015
Last updated
01/18/2017
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