Organization
WE ARE FAMILY HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIKA MARIE BASILE (ADMINISTRATOR)
(219) 669-5730
Entity
Organization
Contact information
Practice address
6408 PERSHING RD, SCHERERVILLE, IN 46375-3461
(219) 669-5730
(855) 449-1892
Mailing address
6408 PERSHING RD, SCHERERVILLE, IN 46375-3461
(219) 669-5730
(855) 449-1892
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-013630-1
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
12/08/2021
Last updated
12/08/2021
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