Individual
JOHN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3412 N COLORADO AVE, INDIANAPOLIS, IN 46218-1508
(317) 602-0209
Mailing address
3412 N COLORADO AVE, INDIANAPOLIS, IN 46218-1508
(317) 602-0209
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-017495-1
IN
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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