Organization
AMENITY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABIOLA MEDINAT OLADIRAN RN (OWNER-PRESIDENT)
(317) 537-7621
Entity
Organization
Contact information
Practice address
12045 BODLEY PL, FISHERS, IN 46037-3714
(317) 537-7621
(317) 559-7169
Mailing address
12045 BODLEY PL, FISHERS, IN 46037-3714
(317) 537-7621
(317) 559-7169
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
17014010-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17014010-1
PERSONAL SERVICES AGENCY LICENSE
IN
Enumeration date
10/17/2017
Last updated
10/17/2017
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