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Organization

WILMAR WILLIAMS CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ICESS MANUEL (CEO)
(317) 937-0963
Entity
Organization

Contact information

Practice address
12660 ANTIGUA DR, NOBLESVILLE, IN 46060-4038
(317) 937-0963
Mailing address
3410 N HIGH SCHOOL RD STE G, INDIANAPOLIS, IN 46224-1100
(317) 937-0963

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/31/2025
Last updated
07/31/2025
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