| NPI | 1184237927 |
|---|---|
| Former Legal Business Name | MAGNOLIA ANGELS HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | MYKESHIA TAYLOR Administrator 317-688-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |