Individual
MRS. DETRICE L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7164 GRAHAM RD STE 140, INDIANAPOLIS, IN 46250-2675
(317) 728-0252
(317) 537-2107
Mailing address
711 E 65TH ST STE 209, INDIANAPOLIS, IN 46220-1609
(317) 728-0252
(463) 234-1617
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24-018102-1
IN
3747P1801X
Personal Care Attendant
24-018102-1
IN
376J00000X
Homemaker
24-018102-1
IN
Other
Enumeration date
11/08/2024
Last updated
04/13/2026
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