Organization
ACTUVATE HEALTHCARE LLC
Active
Organization
ACTUVATE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (PRINCIPAL)
(312) 455-9200
Entity
Organization
Contact information
Practice address
6340 NORTH EWING ST, INDIANAPOLIS, IN 46220
(312) 455-9200
Mailing address
1419 W CHICAGO AVE, CHICAGO, IL 60642
(312) 455-9200
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
252Y00000X
IN
Other
Enumeration date
11/23/2010
Last updated
11/15/2011
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