Individual
MRS. SHIRLEY A MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 755-6589
(260) 444-4969
Mailing address
3468 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 755-6589
(260) 444-4969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
18-014453-1
IN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017609
—
IN
Enumeration date
10/16/2018
Last updated
10/10/2024
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