Vintage Roots LLC
In Home Supportive Care in Selma, IN. Organization (NPI-2).
NPI number1043149727
StatusActive
Last updated in NPPESMay 18, 2026
Details
- NPI
- 1043149727
- Entity type
- Organization (NPI-2)
- Legal business name
- Vintage Roots LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2026
- Certification date
- May 18, 2026
- Last updated
- May 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
5401 S County Road 475 ESelma, IN 47383-9679
Phone 765-748-3775
Mailing address
5401 S County Road 475 ESelma, IN 47383-9679
Phone 765-748-3775
Authorized official
Ashley Turner
Owner
7657483775
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