Organization
INDIANA COMMUNITY HOME HEALTHCARE SERVICE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULKADIR MUKTAR HAJI ABDULKADIR HAJI (CEO)
(614) 376-7447
Entity
Organization
Contact information
Practice address
4532 W PERRY ST, INDIANAPOLIS, IN 46241-6274
(614) 376-7447
Mailing address
4532 W PERRY ST, INDIANAPOLIS, IN 46241-6274
(614) 376-7447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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