Organization
ADVANCED ADULT DAY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BAKER (CEO)
(317) 871-1188
Entity
Organization
Contact information
Practice address
5906 GIFFORD ST, INDIANAPOLIS, IN 46228-1281
(317) 871-1189
Mailing address
5906 GIFFORD ST, INDIANAPOLIS, IN 46228-1281
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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