Organization
MOH INTEGRATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWASEUN MODUPE ONIFADE NP (NURSE PRACTITIONER)
(317) 332-9667
Entity
Organization
Contact information
Practice address
13192 GLENSIDE DR, FISHERS, IN 46037-8864
(317) 332-9667
Mailing address
13192 GLENSIDE DR, FISHERS, IN 46037-8864
(317) 332-9667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/03/2025
Last updated
03/13/2025
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