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1518725159
WISTERIA HOME CARE AGENCY LLC
FORT WAYNE, IN
NPI
1518725159
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Entity Type
Organization
Authorized Contact
VIRERVIA RODRIGUEZ
Owner/President
260-797-1676
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
WISTERIA HOME CARE AGENCY LLC
127 W BERRY ST STE 801
FORT WAYNE, IN 46802-2321
Phone number: 260-797-1676
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Mailing Address
WISTERIA HOME CARE AGENCY LLC
127 W BERRY ST STE 801
FORT WAYNE, IN 46802-2321
Phone number: 260-797-1676
Copy
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