Active Care Home Services INC
In Home Supportive Care in Indianapolis, IN. Organization (NPI-2).
NPI number1801192166
StatusActive
Last updated in NPPESFeb 3, 2011
Details
- NPI
- 1801192166
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Care Home Services INC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2011
- Last updated
- Feb 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
5033 Lewiston DrIndianapolis, IN 46254-7104
Phone 317-652-7858 · Fax 317-657-9658
Mailing address
5033 Lewiston DrIndianapolis, IN 46254-7104
Phone 317-652-7858 · Fax 317-657-9658
Authorized official
Oluwole L Ajayi
Ceo
3176527858
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