1630 Serene Care Solutions
In Home Supportive Care in Indianapolis, IN. Organization (NPI-2).
NPI number1881455293
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1881455293
- Entity type
- Organization (NPI-2)
- Legal business name
- 1630 Serene Care Solutions
- Organization subpart
- No
- Enumeration date
- Jan 22, 2024
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
2662 Willow Glen CirIndianapolis, IN 46229-3659
Phone 317-441-7983
Mailing address
2662 Willow Glen CirIndianapolis, IN 46229-3659
Phone 317-441-7983
Authorized official
Jermaine Reaves
Ceo
3174417983
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