Organization
INTEGRITY HOME CARE PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS KING REGISTERED NURSE (ADMINISTRATOR)
(317) 602-3690
Entity
Organization
Contact information
Practice address
5508 E 16TH ST, SUITE C13, INDIANAPOLIS, IN 46218-4936
(317) 602-3690
(317) 802-7610
Mailing address
5508 E 16TH ST, SUITE C13, INDIANAPOLIS, IN 46218-4936
(317) 602-3690
(317) 802-7610
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10-011901-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200914670A
MEDICAID WAIVER
IN
Enumeration date
02/26/2012
Last updated
02/26/2012
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