Organization
ANGELS ADULT FAMILY CARE LLC
Active
Other names
Angels Family Care Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIOLET JOHNSON PHD (PRESIDENT/CEO)
(317) 602-2061
Entity
Organization
Contact information
Practice address
3213 N RILEY AVE, INDIANAPOLIS, IN 46218-2350
(317) 602-2061
Mailing address
3213 N RILEY AVE, INDIANAPOLIS, IN 46218-2350
(317) 602-2061
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201366270-A
—
IN
Enumeration date
01/05/2017
Last updated
01/05/2017
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