Organization
AGING & ACTIVE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINESHA LAGALE NELSON (CEO)
(317) 497-0594
Entity
Organization
Contact information
Practice address
1111 E 54TH ST STE 170, INDIANAPOLIS, IN 46220-3582
(317) 497-0594
(317) 377-4366
Mailing address
1111 E 54TH ST STE 170, INDIANAPOLIS, IN 46220-3582
(317) 497-0594
(317) 377-4366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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