# NURTUREHER MATERNAL WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1215889589
- **Authorized official:** KANYETTA WATERS (CEO)
- **Authorized official phone:** (773) 807-8253

## Contact information

- **Practice address:** 6238 CAVE LN, INDIANAPOLIS, IN 46259-1675
- **Practice address phone:** (317) 551-3358
- **Mailing address:** 6238 CAVE LN, INDIANAPOLIS, IN 46259-1675
- **Mailing address phone:** (317) 551-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2026
- **Last updated:** 02/10/2026