Individual
GRACE MODOLANI OLANUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 DECLARATION DR, PITTSBORO, IN 46167-8834
(317) 454-6582
(317) 641-2213
Mailing address
847 DECLARATION DR, PITTSBORO, IN 46167-8834
(317) 454-6582
(317) 641-2213
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
25-016438-1
IN
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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