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 |