Organization
MAMA ANNIE'S HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALISHA T WILSON WILSON (OWNER)
(317) 579-5416
Entity
Organization
Contact information
Practice address
9165 OTIS AVE STE 107, INDIANAPOLIS, IN 46216-2307
(317) 579-5416
(317) 579-5416
Mailing address
9165 OTIS AVE STE 107, INDIANAPOLIS, IN 46216-2307
(317) 579-5416
(317) 579-5416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/27/2026
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