Individual
MYSHJUA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 KESSLERWOOD CT, INDIANAPOLIS, IN 46228-1874
(317) 697-2744
Mailing address
5659 KESSLERWOOD CT, INDIANAPOLIS, IN 46228-1874
(317) 697-2744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
IN
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
IN
3747P1801X
Personal Care Attendant
—
IN
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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