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1538996640
LINEAGE GROUP LLC
FORT WAYNE, IN
NPI
1538996640
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Entity Type
Organization
Authorized Contact
JASMINE FARRIE
Owner
317-200-0579
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-09-14
Last Update Date
2024-09-14
Business Address
LINEAGE GROUP LLC
1800 HAZELWOOD AVE STE 5301
FORT WAYNE, IN 46805-7514
Phone number: 317-200-0579
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Mailing Address
LINEAGE GROUP LLC
PO BOX 5301
FORT WAYNE, IN 46895-5301
Phone number:
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