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Organization
ICARE GROUP HOME LLC
Active
Organization
ICARE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFRAH GULED IBRAHIM (OWNER)
(614) 202-6679
Entity
Organization
Contact information
Practice address
4174 LONDONDERRY DR, INDIANAPOLIS, IN 46221-2935
(614) 202-6679
Mailing address
4174 LONDONDERRY DR, INDIANAPOLIS, IN 46221-2935
(614) 202-6679
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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