# ADVANCED PSA FAMILY CENTER

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

## Provider details

- **NPI number:** 1629328406
- **Authorized official:** MRS. CHRISTINA G EDMONDS (CEO)
- **Authorized official phone:** (317) 601-7230

## Contact information

- **Practice address:** 6214 N. MORENCI TRIAL SUITE 220, 220, INDIANAPOLIS, IN 46268-4824
- **Practice address phone:** (317) 457-4735
- **Mailing address:** 6214 N. MORENCI TRIAL SUITE 220, 220, INDIANAPOLIS, IN 46268-4824
- **Mailing address phone:** (317) 457-4735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 110119791 | IN | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012