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Organization
BIG HOMIES OF AMERICA LLC
Active
Organization
BIG HOMIES OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE SHEPHERD (PRESIDENT)
(317) 400-7504
Entity
Organization
Contact information
Practice address
1234 W 26TH ST, INDIANAPOLIS, IN 46208-5307
(317) 400-7504
Mailing address
1234 W 26TH ST, INDIANAPOLIS, IN 46208-5307
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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