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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