Organization
1ST MOMENTS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY SCOTT (OWNER)
(765) 609-9023
Entity
Organization
Contact information
Practice address
9124 E 25TH ST, INDIANAPOLIS, IN 46229-1104
(765) 609-9023
Mailing address
9124 E 25TH ST, INDIANAPOLIS, IN 46229-1104
(765) 609-9023
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/10/2024
Last updated
10/16/2024
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