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Organization

AT HOME HEALTH CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LITITIA HATCHER-ROQUE (CEO)
(260) 755-2727
Entity
Organization

Contact information

Practice address
3001 FAIRFIELD AVE, FORT WAYNE, IN 46807-1600
(260) 755-2727
(260) 755-2725
Mailing address
3001 FAIRFIELD AVE, FORT WAYNE, IN 46807-1600
(260) 755-2727
(260) 755-2725

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
120127461
IN

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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