Organization
NURSING AMERICA BACK 2 PERFECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHOCHANTA BENITA GOLDEN LPN (EXECUTIVE DIRECTOR)
(317) 213-3780
Entity
Organization
Contact information
Practice address
5356 PELHAM WAY, SUITE B, INDIANAPOLIS, IN 46216-2214
(317) 213-3780
(888) 473-2963
Mailing address
5356 PELHAM WAY, SUITE B, INDIANAPOLIS, IN 46216-2214
(888) 473-2963
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
27046327A
IN
311ZA0620X
Adult Care Home Facility
Primary
27046327A
IN
Other
Enumeration date
11/05/2011
Last updated
03/29/2012
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