NPI 1144522210

Actuvate Healthcare LLC

Organisation Early Intervention Provider Agency Indianapolis, IN

Practice location

Address: 6340 North Ewing St, Indianapolis, IN 46220
Phone: (312) 455-9200
Mailing address: 1419 W Chicago Ave, Chicago, IL 60642

Authorised official

Name: Debra Geihsler
Title: Principal
Phone: (312) 455-9200

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 252Y00000X (IN)

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Registry record

NPI: 1144522210
Entity type: Organization
NPI issued: 23 Nov 2010
Record last updated: 15 Nov 2011

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.