Organization
COMPASSIONATE CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAYOKUN ADEYALE (ADMINISTRATOR)
(317) 460-8801
Entity
Organization
Contact information
Practice address
6720 E STATE BLVD, FORT WAYNE, IN 46815-7762
(317) 460-8801
(574) 975-4155
Mailing address
6720 E STATE BLVD, FORT WAYNE, IN 46815-7762
(317) 460-8801
(574) 975-4155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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