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Organization

AMERICAN SENIOR HOME CARE OF FT WAYNE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES G BURKHART CPA (CEO)
(317) 788-2500
Entity
Organization

Contact information

Practice address
6900 GRAY RD, INDIANAPOLIS, IN 46237-3209
(317) 788-2500
(317) 780-4688
Mailing address
6900 GRAY RD, INDIANAPOLIS, IN 46237-3209
(317) 788-2500
(317) 780-4688

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/21/2006
Last updated
06/17/2008
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