Individual
TERRI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11532 BROOKWOOD TRACE LN, INDIANAPOLIS, IN 46229-2649
(317) 809-2406
Mailing address
6101 N KEYSTONE AVE # 1409, INDIANAPOLIS, IN 46220-2488
(317) 809-2406
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-016942-1
IN
376J00000X
Homemaker
24-016942-1
IN
Other
Enumeration date
06/12/2024
Last updated
07/05/2024
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