OrganizationActive
Fatsal Spectacle LLC
NPI 1760229926 · Personal Care Attendant · Indianapolis, IN
Provider details
- NPI number
- 1760229926
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Bolaji Imam, Managing Director(317) 222-0274
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2835 Pointe Bay Rd # 46229
Indianapolis, IN 46229-0003
Phone: (317) 222-0274
Approximate (ZIP-level) locationGet directions
Mailing address
2835 Pointe Bay Rd # 46229
Indianapolis, IN 46229-0003
Other names (DBA / former)
- Former legal business name
- Fatsal Spectacle LLC
Registry dates
- Enumerated
- 2024-07-13
- Last updated
- 2024-07-13
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.