Individual
TRACY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3585 SUTHERLAND AVE, INDIANAPOLIS, IN 46218-1001
(317) 966-6535
Mailing address
3585 SUTHERLAND AVE, INDIANAPOLIS, IN 46218-1001
(317) 966-6535
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-017164-1
IN
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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