Organization
FANTELLA WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL ADEWUNMI JOSEPH (CEO)
(317) 213-0665
Entity
Organization
Contact information
Practice address
1689 LIMERICK LN, AVON, IN 46123-5544
(317) 213-0665
Mailing address
1689 LIMERICK LN, AVON, IN 46123-5544
(317) 213-0665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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