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Organization
EXCEPTIONAL RESIDENTIAL SERVICES
Active
Organization
EXCEPTIONAL RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS COSBY (OWNER)
(610) 312-9489
Entity
Organization
Contact information
Practice address
5610 CRAWFORDSVILLE RD # 104, INDIANAPOLIS, IN 46224-3727
(610) 312-9489
Mailing address
5610 CRAWFORDSVILLE RD # 104, INDIANAPOLIS, IN 46224-3727
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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