MEDICARE: MISS TEISHA L BELTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1598557035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TEISHA L BELTON

Provider Business Mailing Address
First Line	:	9511 ANGOLA CT STE 227
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3190
Country	:	US
Telephone Number	:	317-765-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT STE 227
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3190
Country	:	US
Telephone Number	:	317-765-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	05/20/2025

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Directions to “ MISS TEISHA L BELTON ” Practice Location

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