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Organization
MIDWAY TRANSITIONAL GROUP, LLC
Active
Organization
MIDWAY TRANSITIONAL GROUP, LLC
Active
Other names
Midway Transitional Group
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA WINTERS (CEO)
(317) 610-1212
Entity
Organization
Contact information
Practice address
220 W 29TH ST, INDIANAPOLIS, IN 46208-5102
(317) 426-3354
Mailing address
220 W 29TH ST, INDIANAPOLIS, IN 46208-5102
(317) 426-3354
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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