# RESTORATIVE HOMECARE SERVICES

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

## Provider details

- **NPI number:** 1932471885
- **Authorized official:** MS. TONYA YVETTE RUSSELL R.N. (DIRECTOR OF NURSING/ CEO)
- **Authorized official phone:** (317) 450-1640

## Contact information

- **Practice address:** 2002 E 62ND ST, INDIANAPOLIS, IN 46220-2310
- **Practice address phone:** (317) 450-1640
- **Practice address fax:** (317) 253-0090
- **Mailing address:** 2002 E 62ND ST, INDIANAPOLIS, IN 46220-2310
- **Mailing address phone:** (317) 450-1640
- **Mailing address fax:** (317) 253-0090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2012
- **Last updated:** 05/30/2013