Organization
PRIVATE CARE NURSING MANAGEMENT INC
Active
Other names
Allied Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MATTINGLY (OWNER)
(317) 328-0665
Entity
Organization
Contact information
Practice address
5138 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254
(317) 328-0665
(317) 328-0699
Mailing address
5138 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3003
(317) 328-0665
(317) 328-0699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06003610-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200418040A
—
IN
Enumeration date
04/19/2006
Last updated
08/10/2018
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