Organization
LIFESPAN COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY S NEUENSCHWANDER (DIRECTOR OF ACCOUNTS RECEIVABLE)
(317) 902-7749
Entity
Organization
Contact information
Practice address
8725 SHELBY ST, INDIANAPOLIS, IN 46227-6260
(317) 333-8240
Mailing address
2749 E COVENANTER DR, BLOOMINGTON, IN 47401-5454
(317) 333-8240
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300097345
—
IN
Enumeration date
10/29/2024
Last updated
10/29/2024
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