| NPI | 1184676074 |
|---|---|
| Doing Business As | PROMEDICA HOME HEALTH (FT. WAYNE) |
| Entity Type | Organization |
| Authorized Contact | BARRY A LAZARUS Vice President Reimbursements 419-252-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 05-005366-1) |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-01-23 |