Organization
BURGEONING RESIDENTIAL CARE LLC
Active
Other names
Burgeoning Health Providers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA BUTLER NP (OWNER)
(317) 506-0024
Entity
Organization
Contact information
Practice address
2345 N ALABAMA ST, INDIANAPOLIS, IN 46205-4320
(317) 506-0024
(317) 350-0043
Mailing address
2345 N ALABAMA ST, INDIANAPOLIS, IN 46205-4320
(317) 506-0024
(317) 350-0043
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
06/16/2023
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