Organization
M.S.D. OF WASHINGTON TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE LICATA (CHIEF BUSINESS OFFICER)
(317) 205-3332
Entity
Organization
Contact information
Practice address
8550 WOODFIELD CROSSING BLVD, INDIANAPOLIS, IN 46240-2478
(317) 205-3332
(317) 205-3384
Mailing address
8550 WOODFIELD CROSSING BLVD, INDIANAPOLIS, IN 46240-2478
(317) 205-3332
(317) 205-3384
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198400A
—
IN
Enumeration date
02/19/2007
Last updated
08/13/2008
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