Individual
LATASHA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 DELMAR RD, INDIANAPOLIS, IN 46220-5557
(317) 893-3373
(317) 893-3373
Mailing address
3615 DELMAR RD, INDIANAPOLIS, IN 46220-5557
(317) 796-1677
(317) 893-3373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25019360
IN
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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