Organization
MAGNOLIA ANGELS LLC
Active
Other names
Magnolia Angels LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHIA TAYLOR (ADMINISTRATOR)
(317) 995-7282
Entity
Organization
Contact information
Practice address
9165 OTIS AVE STE 213, INDIANAPOLIS, IN 46216-2316
(317) 995-7282
Mailing address
9165 OTIS AVE STE 213, INDIANAPOLIS, IN 46216-2316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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