Organization
ABC COMMUNITY SERVICES LLC
Active
Other names
ACS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE EDWARDS MSN, FNPC (DIRECTOR)
(678) 237-7183
Entity
Organization
Contact information
Practice address
1622 ENGLISH AVE, INDIANAPOLIS, IN 46201-3912
(317) 434-5973
(770) 872-8267
Mailing address
1622 ENGLISH AVE, INDIANAPOLIS, IN 46201-3912
(317) 434-5973
(770) 872-8267
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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