Organization
LETTLAND LLC
Active
Other names
Serenity Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GVIDO L BURGIS (CEO)
(317) 796-0881
Entity
Organization
Contact information
Practice address
10845 CHARLEMAGNE DR, INDIANAPOLIS, IN 46259-1708
(317) 796-0881
(317) 543-7881
Mailing address
PO BOX 39057, INDIANAPOLIS, IN 46239-0057
(317) 796-0881
(317) 543-7881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
013663
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013663
PERSONAL SERVICE AGENCY
IN
Enumeration date
05/04/2015
Last updated
05/04/2015
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