Individual
PHILLIS COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 SAGEBRUSH AVE APT 5, INDIANAPOLIS, IN 46203-5795
(317) 886-8810
Mailing address
5410 SAGEBRUSH AVE APT 5, INDIANAPOLIS, IN 46203-5795
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
23-016121-1
IN
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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