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Organization

THE ARC OF INDIANA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN DICKERSON (EXECUTIVE DIRECTOR)
(317) 977-2375
Entity
Organization

Contact information

Practice address
107 N PENNSYLVANIA ST, SUITE 800, INDIANAPOLIS, IN 46204-2444
(317) 977-2375
(317) 977-2385
Mailing address
107 N PENNSYLVANIA ST, SUITE 800, INDIANAPOLIS, IN 46204-2444
(317) 977-2375
(317) 977-2385

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
200953390
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200953390A
IN
Enumeration date
10/20/2009
Last updated
10/20/2009
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