Individual
DEMETRIUS WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
415 S BUTLER AVE, INDIANAPOLIS, IN 46219-7034
(317) 499-0437
Mailing address
415 S BUTLER AVE, INDIANAPOLIS, IN 46219-7034
(317) 409-1422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27060564A
IN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
21015321
IN
320700000X
Physical Disabilities Residential Treatment Facility
Primary
21015321
IN
Other
Enumeration date
01/08/2020
Last updated
02/28/2024
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