Organization
SHINE AT HOME HOMECARE LLC
Active
Other names
SHINE AT HOME HOMECARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE F AYOGU (ADMIN)
(317) 599-2222
Entity
Organization
Contact information
Practice address
2680 E MAIN ST STE 306, PLAINFIELD, IN 46168-2831
(317) 599-2222
Mailing address
2680 E MAIN ST STE 306, PLAINFIELD, IN 46168-2831
(317) 599-2222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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