Individual
CHANTELLE SUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MATTESON DR, INDIANAPOLIS, IN 46235-4149
(317) 701-8537
(317) 863-1255
Mailing address
5645 MATTESON DR, INDIANAPOLIS, IN 46235-4149
(317) 701-8537
(317) 863-1255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22-014994-1
IN
Other
Enumeration date
03/31/2023
Last updated
04/05/2023
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