Organization
PALMS CLEANING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA REDDEN (ADMINISTRATOR)
(317) 941-9220
Entity
Organization
Contact information
Practice address
9165 OTIS AVE, SUITE 213, INDIANAPOLIS, IN 46216-2027
(317) 941-9220
Mailing address
5381 BRASSIE DR, INDIANAPOLIS, IN 46235-6014
(317) 941-9220
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-013806-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201358770 A
LEGACY PROVIDER IDENTIFIER
IN
Enumeration date
06/20/2016
Last updated
06/20/2016
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