Organization
IDA'S HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WILLIS (OWNER)
(317) 794-6979
Entity
Organization
Contact information
Practice address
1263 ODELL LN, GREENWOOD, IN 46143-7966
(317) 794-6979
Mailing address
1263 ODELL LN, GREENWOOD, IN 46143-7966
(317) 794-6979
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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