| Living Wellness Respite Retreat | |
|
1531 Wellington Ave Indianapolis IN 46219-3844 | |
| (317) 628-0381 | |
| Not Available |
| Full Name | Living Wellness Respite Retreat |
|---|---|
| Speciality | Respite Care - Respite Care, Mental Illness, Child |
| Location | 1531 Wellington Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Dakenya Shae Patterson (CO-OWNER) |
| Authorized Official Contact | 3174146294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Wellness Respite Retreat 1531 Wellington Ave Indianapolis IN 46219-3844 Ph: (317) 628-0381 | Living Wellness Respite Retreat 1531 Wellington Ave Indianapolis IN 46219-3844 Ph: (317) 628-0381 |
| NPI Number | 1053028464 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053028464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | (* (Not Available)) | Primary |
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