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General NPI Number Information
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NPI Number | 1104690890
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Entity Type | Organization
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Legal Business Name | M&M PERSONAL CARE SERVICE
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 2550 GREYTHORNE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-7906
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Country | US
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Telephone | 317-751-5549
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Fax | 317-837-7366
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Provider Business Mailing Address
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Address Line | 2550 GREYTHORNE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-7906
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Country | US
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Telephone | 317-751-5549
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Fax | 317-837-7366
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Authorized Official
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Title or Position | CO-OWNER
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Name | MICHELE RENEE HALL
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Credential | RN
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Telephone | 317-751-5549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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