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General NPI Number Information
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NPI Number | 1588850226
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Entity Type | Organization
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Legal Business Name | ALTA HEALTHCARE
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 9292 N MERIDIAN ST SUITE 211
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1857
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Country | US
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Telephone | 317-706-0799
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Fax |
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Provider Business Mailing Address
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Address Line | 9292 N MERIDIAN ST SUITE 211
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1857
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Country | US
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Telephone | 317-706-0799
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. RONALD LEON MAY
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Credential |
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Telephone | 317-706-0799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IN
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