Individual
EBONI ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 WASHINGTON COVE WAY, INDIANAPOLIS, IN 46229-3927
(317) 261-1162
Mailing address
823 WASHINGTON COVE WAY, INDIANAPOLIS, IN 46229-3927
(317) 261-1162
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24-018359
IN
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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