Individual
NYASIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2909
(317) 519-5403
Mailing address
2211 DR ANDREW J BROWN AVE, INDIANAPOLIS, IN 46205-4527
(317) 519-5403
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-018086-1
IN
Other
Enumeration date
11/12/2024
Last updated
11/14/2024
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