NPI 1043928187

Identity Outreach Program Corp.

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Indianapolis, IN

Practice location

Address: 7098 N Shadeland Ave STE F, Indianapolis, IN 46220-4275
Phone: (317) 771-3006

Authorised official

Name: Jasmine Tucker
Title: Ceo/Founder
Phone: (317) 771-3006

Registered specialties (2)

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

Other Respite Care providers in Indiana →

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in Indiana →

Registry record

NPI: 1043928187
Entity type: Organization
NPI issued: 8 Nov 2022
Record last updated: 12 Mar 2023

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.