# FAMILY TIES HOME CARE LLC

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

## Provider details

- **NPI number:** 1659262160
- **Authorized official:** KEANAH WALLACE (DIRECTOR)
- **Authorized official phone:** (317) 748-3681

## Contact information

- **Practice address:** 9165 OTIS AVE STE 256, INDIANAPOLIS, IN 46216-2319
- **Practice address phone:** (317) 748-3681
- **Mailing address:** 9165 OTIS AVE STE 256, INDIANAPOLIS, IN 46216-2319
- **Mailing address phone:** (317) 748-3681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2025
- **Last updated:** 07/12/2025