Individual
ETOLIA LASHONNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6052 DEWEY AVE, INDIANAPOLIS, IN 46219-7316
(317) 653-8723
Mailing address
6052 DEWEY AVE, INDIANAPOLIS, IN 46219-7316
(317) 653-8723
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24-017171-1
IN
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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