Individual
STEPHANIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9702 E WASHINGTON ST STE 400, INDIANAPOLIS, IN 46229-3631
(877) 203-2897
Mailing address
9702 E WASHINGTON ST STE 400, INDIANAPOLIS, IN 46229-3631
(877) 203-2897
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460838227
—
IN
Enumeration date
09/06/2012
Last updated
09/06/2012
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