Organization
INNUCARE SHARED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA TRIPLETT REGISTERED NURSE (CEO)
(317) 796-8682
Entity
Organization
Contact information
Practice address
5435 NIGHTHAWK WAY, INDIANAPOLIS, IN 46254-4770
(317) 796-8682
(317) 536-3196
Mailing address
5435 NIGHTHAWK WAY, INDIANAPOLIS, IN 46254-4770
(317) 796-8682
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/03/2024
Last updated
06/03/2024
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