Organization
FOUR SEASONS HOME CARE LLC
Active
Other names
Four Seasons Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA SHANQULA MALONE (CEO)
(463) 253-0504
Entity
Organization
Contact information
Practice address
5401 S EAST ST STE 207D, INDIANAPOLIS, IN 46227-2093
(463) 253-0504
(463) 203-0219
Mailing address
5401 S EAST ST STE 207D, INDIANAPOLIS, IN 46227-2093
(463) 201-6334
(463) 203-0219
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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