Organization
SOFIA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAY SE (OWNER/PRESIDENT)
(260) 600-3757
Entity
Organization
Contact information
Practice address
3702 RUPP DR STE 4, FORT WAYNE, IN 46815-4526
(260) 387-7808
Mailing address
3702 RUPP DR STE 4, FORT WAYNE, IN 46815-4526
(260) 387-7808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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