Organization
ARBOR VILLAGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATORY LANDRUM (OWNER)
(317) 947-7024
Entity
Organization
Contact information
Practice address
5172 E 65TH ST STE 105, INDIANAPOLIS, IN 46220-4864
(317) 947-7024
Mailing address
5172 E 65TH ST STE 105, INDIANAPOLIS, IN 46220-4864
(317) 947-7024
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/15/2024
Last updated
08/16/2024
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