Individual
BRANDY BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10755 JIMMY LAKE DR, INDIANAPOLIS, IN 46239
(317) 748-4941
Mailing address
10755 JIMMY LAKE DR, INDIANAPOLIS, IN 46239
(317) 748-4941
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300094326
—
IN
Enumeration date
10/23/2024
Last updated
10/23/2024
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