Organization
KIDMOSPHERE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HARRIS (CEO)
(463) 308-6353
Entity
Organization
Contact information
Practice address
1054 VIRGINIA AVE STE 220, INDIANAPOLIS, IN 46203-1880
(317) 930-1615
Mailing address
1054 VIRGINIA AVE STE 220, INDIANAPOLIS, IN 46203-1880
(317) 930-1615
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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