Organization
GRACE HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL KOLLEH (MANAGER)
(317) 945-0225
Entity
Organization
Contact information
Practice address
4238 VIVA LANE, INDIANAPOLIS, IN 46239-1911
(317) 945-0225
(317) 961-6099
Mailing address
4238 VIVA LANE, INDIANAPOLIS, IN 46239
(317) 629-7620
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
11/11/2024
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