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NPI Code Detail

MEDICARE: ATTENTIVE RESOURCES, LLC

MEDICARE: ATTENTIVE RESOURCES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency14-013581-1IN

General Provider Information

NPI Number : 1508264870
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATTENTIVE RESOURCES, LLC
Provider Business Mailing Address
First Line : 3354 GARLAND AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-1724
Country : US
Telephone Number : 260-407-0037
Fax Number : 855-728-6764
Provider Business Practice Location Address
First Line : 3354 GARLAND AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-1724
Country : US
Telephone Number : 260-407-0037
Fax Number : 855-728-6764
Authorized Official
Title or Position : HUMAN RESOURCES DIRECTOR
Name : MR. SEAN B PRICE
Credential :
Telephone Number : 260-407-0037
Provider Enumeration Date : 12/18/2014
Last Update Date : 12/18/2014

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Directions to “ATTENTIVE RESOURCES, LLC ” Practice Location

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