Organization
K&R GLOWING PRIDE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANA RICE (OWNER)
(317) 517-7688
Entity
Organization
Contact information
Practice address
301 E CARMEL DR STE E300, CARMEL, IN 46032-4817
(317) 517-7688
Mailing address
3193 PINENUT DR, APOPKA, FL 32712-4364
(317) 517-7688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
01/16/2025
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