Organization
BENEVOLENT CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANEL LANETE RICHARDSON M.S. CCC-SLP (MANAGER)
(317) 937-6874
Entity
Organization
Contact information
Practice address
5645 E RAYMOND ST, INDIANAPOLIS, IN 46203-4967
(317) 937-6874
Mailing address
5645 E RAYMOND ST, INDIANAPOLIS, IN 46203-4967
(317) 937-6874
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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