Organization
KIDDIEKLUBHOUSE,LLC
Active
Other names
KiddieKlubHouse, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY CARMAN (MANAGER)
(765) 283-8895
Entity
Organization
Contact information
Practice address
2209 W SURREY DR, MUNCIE, IN 47304-1448
(765) 283-8895
Mailing address
2209 W SURREY DR, MUNCIE, IN 47304-1448
(765) 283-8895
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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