Organization
PHYSICIANS HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADLON L DRAYER RN (CEO)
(765) 447-3443
Entity
Organization
Contact information
Practice address
210 PROFESSIONAL CT, LAFAYETTE, IN 47905-5105
(765) 447-3443
(765) 447-5877
Mailing address
210 PROFESSIONAL CT, LAFAYETTE, IN 47905-5105
(765) 447-3443
(765) 447-5877
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-005352-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100265450A
—
IN
05
—
200045230A
—
IN
Enumeration date
10/03/2005
Last updated
12/21/2009
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