Individual
DAWNISHA T ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 PARK CREEK LN, FORTVILLE, IN 46040-0075
(317) 721-9102
(317) 855-1906
Mailing address
7584 PENNYCROFT DR, INDIANAPOLIS, IN 46236-8758
(317) 939-8441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
24-107521-1
IN
253Z00000X
In Home Supportive Care Agency
Primary
24-107521-1
IN
376J00000X
Homemaker
24-017521-1
IN
376J00000X
Homemaker
24-10752101
IN
Other
Enumeration date
07/15/2024
Last updated
08/26/2024
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