NPI 1205334208
Input Residential
Practice location
- Address
- 8117 E Washington St, Indianapolis, IN 46219-6813
- Phone
- (317) 222-9888
Authorised official
- Name
- Tanya Davis
- Title
- Ceo
- Phone
- (317) 222-9888
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1205334208
- Entity type
- Organization
- NPI issued
- 25 Jan 2018
- Record last updated
- 25 Jan 2018
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.