Organization
HEART GLOW SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UJUNWA UCHENDU CAN, QMA, HIM (OWNER)
(317) 797-2011
Entity
Organization
Contact information
Practice address
5661 VALHALLA WAY, INDIANAPOLIS, IN 46235-6027
(916) 613-6499
Mailing address
5661 VALHALLA WAY, INDIANAPOLIS, IN 46235-6027
(317) 797-2011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
12/16/2024
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