Organization
GOOD HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL ZEITLIN (MANAGER)
(317) 643-1966
Entity
Organization
Contact information
Practice address
1250 EWING ST, FORT WAYNE, IN 46802-3369
(317) 643-1966
Mailing address
525 ROUTE 306, SUFFERN, NY 10901-2111
(317) 643-1966
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/23/2024
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