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NPI Code Detail

MEDICARE: FAITH FILLED HANDS LLC

MEDICARE: FAITH FILLED HANDS LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1265284145
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITH FILLED HANDS LLC
Provider Business Mailing Address
First Line : 2737 E 56TH ST STE E
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-3500
Country : US
Telephone Number : 317-499-7705
Fax Number : 317-426-3167
Provider Business Practice Location Address
First Line : 2737 E 56TH ST STE E
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-3500
Country : US
Telephone Number : 317-499-7705
Fax Number : 317-426-3167
Authorized Official
Title or Position : ADMINISTRATOR
Name : GLENNA TAYLOR
Credential :
Telephone Number : 317-499-7705
Provider Enumeration Date : 04/03/2024
Last Update Date : 04/03/2024

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Directions to “FAITH FILLED HANDS LLC ” Practice Location

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