# IDA'S HOME CARE LLC

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

## Provider details

- **NPI number:** 1952147225
- **Authorized official:** CRYSTAL WILLIS (OWNER)
- **Authorized official phone:** (317) 794-6979

## Contact information

- **Practice address:** 1263 ODELL LN, GREENWOOD, IN 46143-7966
- **Practice address phone:** (317) 794-6979
- **Mailing address:** 1263 ODELL LN, GREENWOOD, IN 46143-7966
- **Mailing address phone:** (317) 794-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 07/05/2024