NPI 1003433566

Physiocare Homecare LLC

Organisation Home Health Agency Lafayette, IN

Practice location

Address: 625 S Earl Ave STE D, Lafayette, IN 47904-3602
Phone: (765) 838-1660
Fax: (765) 838-1662

Authorised official

Name: Kelley Manzon Gray
Title: Administrator
Phone: (765) 868-1660

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1003433566
Entity type: Organization
NPI issued: 1 Jul 2020
Record last updated: 1 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.