Individual
MRS. ANGELA JOANN YEEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 S 725 W, MANILLA, IN 46150-9713
(317) 512-0292
(765) 525-5849
Mailing address
7012 S 725 W, MANILLA, IN 46150-9713
(317) 512-0292
(765) 525-5849
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
746576
IN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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