Organization
HER NASHELLE CO
Active
Other names
Forever Grateful LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA WILLIAMS (MANAGER)
(317) 395-9526
Entity
Organization
Contact information
Practice address
3709 N SHADELAND AVE STE 1, INDIANAPOLIS, IN 46226-5827
(317) 395-9526
Mailing address
3709 N SHADELAND AVE STE 1, INDIANAPOLIS, IN 46226-5827
(317) 395-9526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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