Organization
ALTRA HOMECARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WYNNE (ADMINISTRATOR)
(317) 672-6155
Entity
Organization
Contact information
Practice address
7400 N SHADELAND AVE STE 258, INDIANAPOLIS, IN 46250-2886
(317) 672-6155
(317) 712-3935
Mailing address
7400 N SHADELAND AVE STE 258, INDIANAPOLIS, IN 46250-2886
(317) 672-6155
(317) 712-3935
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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