Organization
INDY IN-HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BERAKI SIBHATU (PRESIDENT & IT MANAGER)
(317) 933-6855
Entity
Organization
Contact information
Practice address
5330B W WASHINGTON ST, INDIANAPOLIS, IN 46241-2147
(317) 933-6855
Mailing address
5330B W WASHINGTON ST, INDIANAPOLIS, IN 46241-2147
(317) 933-6855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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