Individual
JOHNNIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8259 INDY CT, INDIANAPOLIS, IN 46214-2300
(317) 825-4256
(317) 825-4256
Mailing address
8259 INDY CT, INDIANAPOLIS, IN 46214-2300
(317) 825-4256
(317) 825-4256
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-018203-1
IN
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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