Organization
ADVANCED PSA FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA G EDMONDS (CEO)
(317) 601-7230
Entity
Organization
Contact information
Practice address
6214 N. MORENCI TRIAL SUITE 220, 220, INDIANAPOLIS, IN 46268-4824
(317) 457-4735
Mailing address
6214 N. MORENCI TRIAL SUITE 220, 220, INDIANAPOLIS, IN 46268-4824
(317) 457-4735
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
110119791
IN
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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