Individual
TANYIKA S COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8250 BASH ST STE A10, INDIANAPOLIS, IN 46250-1938
(317) 339-0719
Mailing address
8250 BASH ST STE A10, INDIANAPOLIS, IN 46250-1938
(317) 339-0719
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
240177872
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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