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Organization
BABY BOOMER HOME CARE AND GROUP HOME CORP
Active
Organization
BABY BOOMER HOME CARE AND GROUP HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONESHA J MOORER (PRESIDENT)
(317) 201-1655
Entity
Organization
Contact information
Practice address
55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
(317) 201-1655
Mailing address
55 E 22ND ST, INDIANAPOLIS, IN 46202-1427
(317) 201-1655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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