Organization · NPI-2

Abc Community Services LLC

Community Health Worker · Indianapolis, IN

NPI number1124636394
StatusActive
Last updated in NPPESJul 14, 2020

Details

NPI
1124636394
Entity type
Organization (NPI-2)
Legal business name
Abc Community Services LLC
Organization subpart
No
Enumeration date
Jul 14, 2020
Certification date
Jul 14, 2020
Last updated
Jul 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
251E00000X Home Health––

Other names

  • Acs (Doing Business As)

Practice location

1622 English Ave
Indianapolis, IN 46201-3912

Phone 317-434-5973 · Fax 770-872-8267

Mailing address

1622 English Ave
Indianapolis, IN 46201-3912

Phone 317-434-5973 · Fax 770-872-8267

Authorized official

Jacqueline Edwards
Director
6782377183

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