Organization
PROFESSIONAL NURSING HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUN THANG (OWNER)
(260) 271-2711
Entity
Organization
Contact information
Practice address
1928 INWOOD DR, FORT WAYNE, IN 46815-7111
(260) 271-2711
(260) 271-2710
Mailing address
1928 INWOOD DR, FORT WAYNE, IN 46815-7111
(260) 271-2711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/21/2022
Last updated
01/12/2026
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