Organization
COMMUNITY HC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LONG (CEO)
(317) 690-1264
Entity
Organization
Contact information
Practice address
7779 E RIDGE RD STE B, HOBART, IN 46342-2486
(219) 240-5327
(317) 816-2350
Mailing address
4640 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6826
(260) 441-8302
(260) 441-8502
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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