Individual
MS. TARA STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 SCREECH OWL CIR, INDIANAPOLIS, IN 46228-1512
(317) 790-8360
Mailing address
3812 SCREECH OWL CIR, INDIANAPOLIS, IN 46228-1512
(317) 790-8360
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
24-017795
IN
3747P1801X
Personal Care Attendant
Primary
24-017795
IN
374U00000X
Home Health Aide
24-017795
IN
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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