111HOME HEALTH CARE AGENCY
Organization (NPI-2)
Active
In Home Supportive Care
Provider Information
- NPI Number
1376816702- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 336 W GARFIELD AVE, ELKHART, IN, 465162501
- Phone
- (574) 350-9831
- Fax
- (574) 293-7947
Specialties & Taxonomies
In Home Supportive Care
Primary License: IN #11-012725-1