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Organization

MICARE HOME HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON HICKERSON (AGENT)
(317) 531-7556
Entity
Organization

Contact information

Practice address
6036 E 42ND ST, INDIANAPOLIS, IN 46226-4910
(317) 531-7556
Mailing address
6036 E 42ND ST, INDIANAPOLIS, IN 46226-4910
(317) 531-7556

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
IN

Other

Enumeration date
11/05/2017
Last updated
11/05/2017
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