# SUZY Q SERVICE CORORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suzy Q Cleaning Service LLC & Personal Service Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780025163
- **Authorized official:** MS. SUZETT MOFFITT (PRESIDENT)
- **Authorized official phone:** (317) 755-7664

## Contact information

- **Practice address:** 2401 N TIBBS AVE, INDIANAPOLIS, IN 46222
- **Practice address phone:** (317) 955-7567
- **Practice address fax:** (317) 955-7567
- **Mailing address:** 2401 N TIBBS AVE, INDIANAPOLIS, IN 46222-2457
- **Mailing address phone:** (317) 955-7567
- **Mailing address fax:** (317) 955-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 130130671 | IN | Yes |
| 372500000X | Chore Provider | 18-013067-1 | IN | — |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 08/28/2018