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5435 Emerson Way Ste 402 Indianapolis IN 46226-1466 | |
| (317) 222-8854 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse's Aide |
| Location | 5435 Emerson Way Ste 402, Indianapolis, Indiana |
| Authorized Official Name and Position | India Joseph (OWNER) |
| Authorized Official Contact | 3177650586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5435 Emerson Way Ste 405 Indianapolis IN 46226-1467 Ph: (317) 765-0586 | 5435 Emerson Way Ste 402 Indianapolis IN 46226-1466 Ph: (317) 222-8854 |
| NPI Number | 1376222562 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376222562 | NPI | - | NPPES |
| 300065782 | Medicaid | IN |
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