MEDICARE: RALANS 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
1	343900000X	Non-emergency Medical Transport (VAN)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427617927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALANS LLC

Provider Business Mailing Address
First Line	:	1463 DANIELLE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-1612
Country	:	US
Telephone Number	:	317-704-4728
Fax Number	:	317-421-7904

Provider Business Practice Location Address
First Line	:	1463 DANIELLE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231-1612
Country	:	US
Telephone Number	:	317-429-7950
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	RITA I ODOLE
Credential	:
Telephone Number	:	317-429-7950

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	09/27/2023

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