| Integrated Support & Facilitation, Llc | |
|
8112 Woodington Ct Indianapolis IN 46259-5765 | |
| (219) 776-1003 | |
| Not Available |
| Full Name | Integrated Support & Facilitation, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8112 Woodington Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Marla Hoover (MANAGING OWNER) |
| Authorized Official Contact | 3174405779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Support & Facilitation, Llc 8112 Woodington Ct Indianapolis IN 46259-5765 Ph: (219) 776-1003 | Integrated Support & Facilitation, Llc 8112 Woodington Ct Indianapolis IN 46259-5765 Ph: (219) 776-1003 |
| NPI Number | 1710648274 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710648274 | NPI | - | NPPES |
| 300031102 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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