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Organization

WITH OPEN ARMS HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRELL SHANTRICE BANNISTER (CEO)
(317) 332-6301
Entity
Organization

Contact information

Practice address
2001 SCHWIER CT, INDIANAPOLIS, IN 46229-2155
(317) 332-6301
Mailing address
2001 SCHWIER CT, INDIANAPOLIS, IN 46229-2155
(317) 332-6301

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
343900000X
Non-emergency Medical Transport (VAN)
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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