Living Home | |
6350 Westhaven Dr Ste F Indianapolis IN 46254-2731 | |
(317) 291-9388 | |
(317) 291-9389 |
Full Name | Living Home |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 6350 Westhaven Dr Ste F, Indianapolis, Indiana |
Authorized Official Name and Position | Sam A Adeyanju (CEO) |
Authorized Official Contact | 3172919388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Home 6350 Westhaven Dr Ste F Indianapolis IN 46254-2731 Ph: (317) 291-9388 | Living Home 6350 Westhaven Dr Ste F Indianapolis IN 46254-2731 Ph: (317) 291-9388 |
NPI Number | 1497001366 |
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Provider Enumeration Date | 07/30/2012 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
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1497001366 | NPI | - | NPPES |
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