Organization
ESSENTIAL DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS WALKER JONES COUNSELOR (CHIEF OPERATIONAL MANAGER)
(317) 924-2824
Entity
Organization
Contact information
Practice address
1426 W 29TH ST STE 209, INDIANAPOLIS, IN 46208-4993
(317) 924-2824
(317) 924-4922
Mailing address
1426 W 29TH ST STE 209, INDIANAPOLIS, IN 46208-4993
(317) 924-2824
(317) 924-4922
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
20042020A
IN
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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