Organization
MARY OAKS HOME CARE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNTEA JENKINS (EXECUTIVE DIRECTOR)
(260) 994-0202
Entity
Organization
Contact information
Practice address
4930 ILLINOIS RD STE 6, FORT WAYNE, IN 46804-5105
(888) 889-8963
Mailing address
4930 ILLINOIS RD STE 6, FORT WAYNE, IN 46804-5105
(888) 299-4422
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
11/06/2025
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