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Organization

CROWN PERSONAL CARE AGENCY

Active
Other names
Crown Personal care Agency
Organization subpart
No

Provider details

NPI number
Authorized official
COMFORT ADEOLA (ADMINISTRATOR/ MANAGER)
(317) 223-5648
Entity
Organization

Contact information

Practice address
610 N HIGH SCHOOL RD STE B, INDIANAPOLIS, IN 46214-3663
(317) 223-5648
Mailing address
610 N HIGH SCHOOL RD STE B, INDIANAPOLIS, IN 46214-3663
(317) 223-5648

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/04/2020
Last updated
12/12/2024
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