# OVWMARIEL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Personal Care and Support
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073994323
- **Authorized official:** OLGA V WILSON (PRESIDENT)
- **Authorized official phone:** (765) 393-9683

## Contact information

- **Practice address:** 100 W 11TH ST, SUITE 100, ANDERSON, IN 46016-2069
- **Practice address phone:** (765) 393-9683
- **Practice address fax:** (765) 393-9684
- **Mailing address:** 10954 GLAZER WAY, FISHERS, IN 46038-9394
- **Mailing address phone:** (317) 531-6992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015