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Organization
WARNER TRANSITIONAL SERVICES LLC
Active
Organization
WARNER TRANSITIONAL SERVICES LLC
Active
Parent organization
OCONOMOWOC RESIDENTIAL PROGRAMS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCONOMOWOC RESIDENTIAL PROGRAMS INC.
Authorized official
MR. MICHAEL B FLORES (EXECUTIVE DIRECTOR)
(317) 815-0505
Entity
Organization
Contact information
Practice address
11075 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46280-1091
(317) 815-0505
Mailing address
11075 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46280-1091
(317) 815-0505
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
IN
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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