Organization
CORNWINE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN OGUNYEMI (OWNER)
(317) 603-6878
Entity
Organization
Contact information
Practice address
3318 KENT DR, BROWNSBURG, IN 46112-5801
(317) 603-6878
Mailing address
3318 KENT DR, BROWNSBURG, IN 46112-5801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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