Organization
MISBAH HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIN SOE (OWNER)
(260) 745-0902
Entity
Organization
Contact information
Practice address
727 E PAULDING RD, FORT WAYNE, IN 46816-1287
(260) 745-0902
(260) 745-0902
Mailing address
208 E PETTIT AVE STE 59, FORT WAYNE, IN 46806-0001
(260) 443-9698
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
05/22/2023
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