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Organization
FAMILIAR FACES 2.0
Active
Organization
FAMILIAR FACES 2.0
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA M ODOM (CEO)
(317) 909-1998
Entity
Organization
Contact information
Practice address
2426 55TH PL, INDIANAPOLIS, IN 46220-3502
(463) 221-2605
(463) 221-2507
Mailing address
2426 55TH PL, INDIANAPOLIS, IN 46220-3502
(463) 221-2605
(463) 221-2507
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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