# NURSING AMERICA BACK 2 PERFECT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124305131
- **Authorized official:** MRS. RHOCHANTA BENITA GOLDEN LPN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (317) 213-3780

## Contact information

- **Practice address:** 5356 PELHAM WAY, SUITE B, INDIANAPOLIS, IN 46216-2214
- **Practice address phone:** (317) 213-3780
- **Practice address fax:** (888) 473-2963
- **Mailing address:** 5356 PELHAM WAY, SUITE B, INDIANAPOLIS, IN 46216-2214
- **Mailing address fax:** (888) 473-2963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 27046327A | IN | — |
| 311ZA0620X | Adult Care Home Facility | 27046327A | IN | Yes |

## Other

- **Enumeration date:** 11/05/2011
- **Last updated:** 03/29/2012