Organization
CHANGING LIVES PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JEAN WILLIS (OWNER)
(317) 797-0845
Entity
Organization
Contact information
Practice address
5130 GRAY WOOD CT, INDIANAPOLIS, IN 46235-6131
(317) 797-0845
Mailing address
5130 GRAY WOOD CT, INDIANAPOLIS, IN 46235-6131
(317) 797-0845
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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