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NPI Code Detail

MEDICARE: FOOTPRINTZ, LLC

MEDICARE: FOOTPRINTZ, 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1649092297
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOTPRINTZ, LLC
Provider Business Mailing Address
First Line : 4030 BENICIA CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-9001
Country : US
Telephone Number : 317-200-8475
Fax Number :
Provider Business Practice Location Address
First Line : 5845 SUNNYSIDE RD STE 800
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46235-8404
Country : US
Telephone Number : 317-200-8475
Fax Number :
Authorized Official
Title or Position : CEO
Name : RACHEL DAVIS
Credential :
Telephone Number : 317-200-8475
Provider Enumeration Date : 10/25/2024
Last Update Date : 10/25/2024

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Directions to “FOOTPRINTZ, LLC ” Practice Location

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