Organization
MOLLER ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE DANIEL MITJAVILA (CONSULTANT)
(317) 385-9121
Entity
Organization
Contact information
Practice address
12517 RICHLANE DR, INDIANAPOLIS, IN 46236-9323
(317) 753-5013
Mailing address
12517 RICHLANE DR, INDIANAPOLIS, IN 46236-9323
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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