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Organization

EMINENCE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY DOVE (ADMINISTRATOR)
(317) 701-4191
Entity
Organization

Contact information

Practice address
9511 ANGOLA CT STE 200, INDIANAPOLIS, IN 46268-3190
(317) 701-4191
Mailing address
8245 E 96TH ST # 1132, INDIANAPOLIS, IN 46256-1013
(317) 701-4191

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/01/2023
Last updated
07/25/2024
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