Individual
OMA DOCETTA CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7631 JACKSON ST, MERRILLVILLE, IN 46410-5795
(219) 487-9481
(219) 203-4077
Mailing address
7631 JACKSON ST, MERRILLVILLE, IN 46410-5795
(219) 487-9481
(219) 203-4077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IN
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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