Organization
HOUSECALLS FOR INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE CLARK (PRESIDENT)
(317) 679-4048
Entity
Organization
Contact information
Practice address
7506 W US HIGHWAY 40, INDIANAPOLIS, IN 46229-4221
(317) 679-4048
Mailing address
7506 W US HIGHWAY 40, INDIANAPOLIS, IN 46229-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71001402A
IN
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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