Organization
IDA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKETTA THOMASTON (ADMINISTRATOR)
(317) 405-7209
Entity
Organization
Contact information
Practice address
6505 E 82ND ST, INDIANAPOLIS, IN 46250-5538
(463) 999-6476
Mailing address
5625 N GERMAN CHURCH RD, INDIANAPOLIS, IN 46235-8513
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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