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Organization
REBUILDING & EVOLVING FAMILIES LLC
Active
Organization
REBUILDING & EVOLVING FAMILIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRA REYNOLDS TODD BA (OWNER /OPERATOR)
(317) 728-4239
Entity
Organization
Contact information
Practice address
9770 JACKSON WAY, AVON, IN 46123-9588
(317) 728-4239
Mailing address
9770 JACKSON WAY, AVON, IN 46123-9588
(317) 728-4239
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
08/01/2023
Last updated
08/09/2023
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