Organization
A-1 HEALTH & MEDICAL L.L.C.
Active
Other names
A-1 Personal Services Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL WILLISE FIELDS HEALTH FACILITY ADM. (CFO)
(317) 690-4207
Entity
Organization
Contact information
Practice address
7002 GRAHAM RD., SUITE #222, INDIANAPOLIS, IN 46220-4057
(317) 202-9400
(317) 202-9400
Mailing address
7002 GRAHAM RD., SUITE #222, INDIANAPOLIS, IN 46220-4057
(317) 202-9400
(317) 252-8560
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10-012325-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-012325-1
WAIVER
IN
Enumeration date
05/18/2010
Last updated
02/14/2024
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