Individual
MS. TOSHA RENEE PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5944 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2421
(317) 441-0100
Mailing address
5944 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2421
(317) 441-0100
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
300095970
IN
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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