Organization
MINGO MEDICAL AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MINGO (CEO)
(765) 400-6321
Entity
Organization
Contact information
Practice address
1705 CENTURY CIRCLE SOUTH, 3, INDIANAPOLIS, IN 46260
(765) 400-6321
Mailing address
1705 CENTURY CIRCLE SOUTH, 3, INDIANAPOLIS, IN 46260
(765) 400-6321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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