Organization
KINGSTON CARE LLC
Active
Other names
Kingston care llc
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMARA MONTGOMERY (CEO/OWNER)
(317) 205-5660
Entity
Organization
Contact information
Practice address
8206 CHRISTIANA LN, INDIANAPOLIS, IN 46256-3461
(317) 205-5660
Mailing address
8206 CHRISTIANA LN, INDIANAPOLIS, IN 46256-3461
(317) 205-5660
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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