Organization
PALM TREE ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLINGTON RAY METCALFE JR. (PRESIDENT)
(317) 408-6824
Entity
Organization
Contact information
Practice address
4803 MANNING RD, INDIANAPOLIS, IN 46228-2052
(317) 408-6824
Mailing address
4803 MANNING RD, INDIANAPOLIS, IN 46228-2052
(317) 408-6824
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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