MEDICARE: RAMONA J MOURENI HHA

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	101Y00000X	Counselor		IN

General Provider Information

NPI Number	:	1629828447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA J MOURENI HHA

Provider Business Mailing Address
First Line	:	4221 TORINO CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-1018
Country	:	US
Telephone Number	:	317-498-3174
Fax Number	:

Provider Business Practice Location Address
First Line	:	4221 TORINO CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-1018
Country	:	US
Telephone Number	:	317-498-3174
Fax Number	:

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

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

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