Organization
GERALDINES WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA VAUGHN MHRM, APS.PSY.MA.PP (OWNER)
(317) 419-1441
Entity
Organization
Contact information
Practice address
5807 LAKEFIELD DR, INDIANAPOLIS, IN 46254-4903
(317) 419-1441
Mailing address
5807 LAKEFIELD DR, INDIANAPOLIS, IN 46254-4903
(317) 419-1441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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