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Organization
KONDUIIT CARE SYSTEM LLC
Active
Organization
KONDUIIT CARE SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEEFAT BRONSON (CEO)
(317) 909-1656
Entity
Organization
Contact information
Practice address
9199 MUIR LN, FISHERS, IN 46037-7956
(317) 909-1656
Mailing address
9199 MUIR LN, FISHERS, IN 46037-7956
(317) 909-1656
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
09/15/2023
Last updated
09/18/2023
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