# HER NASHELLE CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forever Grateful LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689413254
- **Authorized official:** LATASHA WILLIAMS (MANAGER)
- **Authorized official phone:** (317) 395-9526

## Contact information

- **Practice address:** 3709 N SHADELAND AVE STE 1, INDIANAPOLIS, IN 46226-5827
- **Practice address phone:** (317) 395-9526
- **Mailing address:** 3709 N SHADELAND AVE STE 1, INDIANAPOLIS, IN 46226-5827
- **Mailing address phone:** (317) 395-9526

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 05/22/2024