Organization
FIREFLY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MANIFOLD RN, BSN (DIRECTOR OF CLIENT SERVICES / OWNER)
(574) 830-6121
Entity
Organization
Contact information
Practice address
100 SOUTH MAIN STREET, MIDDLEBURY, IN 46540
(574) 830-6121
Mailing address
100 SOUTH MAIN STREET, P.O. BOX 4, MIDDLEBURY, IN 46540
(574) 830-6121
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-013021-1
IN
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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