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Organization

SUPPORT SUCCESS HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERMAINE WILLIAMS (OWNER)
(317) 397-3117
Entity
Organization

Contact information

Practice address
6223 N WOODSIDE CT, MCCORDSVILLE, IN 46055-8025
(317) 457-1523
Mailing address
6223 N WOODSIDE CT, MCCORDSVILLE, IN 46055-8025
(317) 457-1523

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
376J00000X
Homemaker
Primary

Other

Enumeration date
04/24/2026
Last updated
04/28/2026
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