Organization
CHANGES HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE CLARK REGISTERED NURSE (DIRECTOR OF NURSING)
(317) 986-6965
Entity
Organization
Contact information
Practice address
10090 E US HIGHWAY 36, SUITE C, AVON, IN 46123-8175
(317) 986-6965
(317) 203-1064
Mailing address
10090 E US HIGHWAY 36, SUITE C, AVON, IN 46123-8175
(317) 986-6965
(317) 203-1064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150138071
IN
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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