Organization
OVWMARIEL LLC
Active
Other names
Interim Personal Care and Support
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA V WILSON (PRESIDENT)
(765) 393-9683
Entity
Organization
Contact information
Practice address
100 W 11TH ST, SUITE 100, ANDERSON, IN 46016-2069
(765) 393-9683
(765) 393-9684
Mailing address
10954 GLAZER WAY, FISHERS, IN 46038-9394
(317) 531-6992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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