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Organization

CORA ROSE RESIDENTIAL

Active
Other names
Cora Rose Residential
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARIC EVANS SR. (OWNER)
(317) 709-3255
Entity
Organization

Contact information

Practice address
545 TOMLINSON ST, INDIANAPOLIS, IN 46222-3247
(317) 709-3255
Mailing address
545 TOMLINSON ST, INDIANAPOLIS, IN 46222-3247
(317) 709-3255

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/24/2024
Last updated
01/24/2024
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