# BRANCHES RESIDENTIAL SERVICES

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

## Provider details

- **NPI number:** 1548796089
- **Authorized official:** ROBERT WADE HAMPTON MSW (OWNER)
- **Authorized official phone:** (317) 966-8413

## Contact information

- **Practice address:** 13096 GLENSIDE DR, FISHERS, IN 46037-8863
- **Practice address phone:** (317) 966-8413
- **Mailing address:** 13096 GLENSIDE DR, FISHERS, IN 46037-8863
- **Mailing address phone:** (317) 966-8413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017
