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Organization
EXECUTIVE HOME CARE LLC
Active
Organization
EXECUTIVE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMAH W MUITA CEO (OWNER)
(317) 798-7728
Entity
Organization
Contact information
Practice address
2569 BELMONT DR APT 30K, GREENWOOD, IN 46143-5212
(317) 798-7728
Mailing address
2569 BELMONT DR APT 30K, GREENWOOD, IN 46143-5212
(317) 798-7728
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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