NPI 1396021010

Activate Healthcare PC

Organisation Early Intervention Provider Agency Indianapolis, IN

Practice location

Address: 6340 N Ewing St, Indianapolis, IN 46220-4424
Phone: (773) 697-3144
Mailing address: 2115 N Damen Ave, Chicago, IL 60647-4528

Authorised official

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

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1396021010
Entity type: Organization
NPI issued: 26 Oct 2011
Record last updated: 25 Oct 2013

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.