NPI 1003645953
A Village of Love Residential LLC
Practice location
- Address
- 1855 Bauer Rd, Indianapolis, IN 46218-4814
- Phone
- (317) 625-4130
Authorised official
- Name
- Bobby Joe Tyus
- Title
- President
- Phone
- (317) 625-4130
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1003645953
- Entity type
- Organization
- NPI issued
- 30 Jul 2024
- Record last updated
- 30 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.