Organization · NPI-2

4 Ever Young LLC

Home Health Aide · Indianapolis, IN

NPI number1649022617
StatusActive
Last updated in NPPESApr 3, 2024

Details

NPI
1649022617
Entity type
Organization (NPI-2)
Legal business name
4 Ever Young LLC
Organization subpart
No
Enumeration date
Apr 3, 2024
Certification date
Apr 3, 2024
Last updated
Apr 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

2431 Galaxy Ln
Indianapolis, IN 46229-1121

Phone 317-658-6019

Mailing address

2431 Galaxy Ln
Indianapolis, IN 46229-1121

Phone 317-658-6019

Authorized official

Aliesha Young
Ceo
3176586019

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