Individual
TONIA HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11414 WATTS BAR CT, INDIANAPOLIS, IN 46229-9504
(317) 797-0911
Mailing address
11414 WATTS BAR CT, INDIANAPOLIS, IN 46229-9504
(317) 797-0911
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27061644A
INDIANA PROFESSIONAL LICENSING AGENCY NURSING BOARD
IN
Enumeration date
01/15/2024
Last updated
01/15/2024
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