NPI 1225262702

Essential Development Corporation

Organisation Preferred Provider Organization Indianapolis, IN

Practice location

Address: 1426 W 29th St STE 209, Indianapolis, IN 46208-4993
Phone: (317) 924-2824
Fax: (317) 924-4922

Authorised official

Name: Doris Walker Jones
Title: Chief Operational Manager
Phone: (317) 924-2824

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 20042020A (IN)

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Registry record

NPI: 1225262702
Entity type: Organization
NPI issued: 12 May 2009
Record last updated: 12 May 2009

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.