Individual
SHANNON MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 LAKEFIELD CT, INDIANAPOLIS, IN 46254-4910
(317) 794-6198
Mailing address
4209 LAKEFIELD CT, INDIANAPOLIS, IN 46254-4910
(317) 794-6198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24-016471-1
IN
Other
Enumeration date
01/10/2024
Last updated
01/18/2024
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