Most Relevant Information
Provider Data
| NPI Number: | 1003634809 |
| Provider Name: | TYWANDA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
10705 PALMYRA CIR
INDIANAPOLIS
IN
462399176
Practice Location Phone/Fax
| Phone: | 3176587921 |
| Fax: |
Provider Mailing Location
10705 PALMYRA CIR
INDIANAPOLIS
IN
462399176
Provider Mailing Phone/Fax
| Phone: | 3176587921 |
| Fax: |