Organization
IMPACT4LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN GERMANY (CEO)
(317) 517-3713
Entity
Organization
Contact information
Practice address
4337 E 30TH ST, INDIANAPOLIS, IN 46218-3103
(317) 517-3713
Mailing address
4337 E 30TH ST, INDIANAPOLIS, IN 46218-3103
(317) 517-3713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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