Organization
FOUNTAIN OF HOPE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M MMBAKA (PRESIDENT)
(317) 658-8440
Entity
Organization
Contact information
Practice address
6008 BRANDY CHASE CV STE B, FORT WAYNE, IN 46815-7601
(317) 658-8440
Mailing address
6008 BRANDY CHASE CV STE B, FORT WAYNE, IN 46815-7601
(317) 658-8440
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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