Organization
OPTIMUM CARE CENTERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKWUEMEKA KELECHI CHIDEBELU-EZE D.C. (C.E.O.)
(317) 641-2026
Entity
Organization
Contact information
Practice address
418 E 30TH ST, INDIANAPOLIS, IN 46205-3909
(317) 641-2026
Mailing address
3421 LEE RD, SNELLVILLE, GA 30039-5621
(317) 641-2026
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
08002356A
IN
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
03/03/2009
Last updated
07/14/2021
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