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Individual

MR. JAMES DEWAYNE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CEO/OWNER

Contact information

Practice address
4735 LONG IRON DR, INDIANAPOLIS, IN 46235-5003
(888) 239-8911
Mailing address
4735 LONG IRON DR, INDIANAPOLIS, IN 46235-5003
(888) 239-8911

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300098781
IN
Enumeration date
07/12/2024
Last updated
12/18/2025
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