Organization
AT HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ANN JOHNSON (OWNER/ADMINISTRATOR)
(317) 523-9320
Entity
Organization
Contact information
Practice address
6525 E 82ND ST, SUITE 210-I, INDIANAPOLIS, IN 46250-1570
(317) 523-9320
(317) 288-5165
Mailing address
6525 E 82ND ST, SUITE 210-I, INDIANAPOLIS, IN 46250-1570
(317) 523-9320
(317) 288-5165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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