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NPI Code Detail

MEDICARE: SYKES HOME CARE, LLC

MEDICARE: SYKES HOME CARE, 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 Agency

General Provider Information

NPI Number : 1548887250
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYKES HOME CARE, LLC
Provider Business Mailing Address
First Line : 5534 SAINT JOE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-3328
Country : US
Telephone Number : 317-720-4116
Fax Number :
Provider Business Practice Location Address
First Line : 5534 SAINT JOE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-3328
Country : US
Telephone Number : 317-720-4116
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KARLA TUNSTALL
Credential :
Telephone Number : 317-720-4116
Provider Enumeration Date : 06/29/2020
Last Update Date : 06/29/2020

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