Individual
MRS. KAYSEE MAE ELLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
(317) 920-7888
Mailing address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31004750A
IN
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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