Physiocare Homecare LLC

NPI #1003433566 in Lafayette, Indiana

Provider Information

NPI Number
1003433566
Entity Type
Organization
Organization Name
Physiocare Homecare LLC
Primary Specialty
Home Health
Enumeration Date
Jul 1, 2020
Last Updated
Jul 1, 2020

Practice Location

Address
625 S EARL AVE STE D
State
Indiana
ZIP Code
47904-3602
Phone
(765) 838-1660

Authorized Official

Name
KELLEY MANZON GRAY, MBA, DPT
Title
ADMINISTRATOR
Phone
(765) 868-1660

Specialties & Taxonomy Codes

Specialty
Home Health

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