Organization
MAMA ANNIE'S HOME CARE LLC
Active
Organization
MAMA ANNIE'S HOME CARE LLC
Active
Other names
Mama Annies Home Care LLC, MAMA ANNIE'S HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TALISHA T WILSON (OWNER)
(317) 657-9116
Entity
Organization
Contact information
Practice address
9165 OTIS AVE STE 110, INDIANAPOLIS, IN 46216-2307
(317) 657-9116
(317) 333-8027
Mailing address
9165 OTIS AVE STE 110, INDIANAPOLIS, IN 46216-2307
(317) 657-9116
(317) 333-8027
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039776
—
IN
Enumeration date
11/15/2022
Last updated
12/01/2022
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