# REBUILDING & EVOLVING FAMILIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134801194
- **Authorized official:** DETRA REYNOLDS TODD BA (OWNER /OPERATOR)
- **Authorized official phone:** (317) 728-4239

## Contact information

- **Practice address:** 9770 JACKSON WAY, AVON, IN 46123-9588
- **Practice address phone:** (317) 728-4239
- **Mailing address:** 9770 JACKSON WAY, AVON, IN 46123-9588
- **Mailing address phone:** (317) 728-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/09/2023