Organization
OPTIMA HOMEHEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE JIMMY MOMODU MD (CHIEF EXECUTIVE OFFICER)
(317) 293-0900
Entity
Organization
Contact information
Practice address
6350 WESTHAVEN DR STE E, INDIANAPOLIS, IN 46254-2731
(317) 293-0900
(317) 293-0901
Mailing address
6350 WESTHAVEN DR STE E, INDIANAPOLIS, IN 46254-2731
(317) 293-0900
(317) 293-0901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
120127531
IN
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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