Organization
MENTORING WITH MAGIC HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BIRDSONG (CEO)
(317) 910-1865
Entity
Organization
Contact information
Practice address
5719 LAWTON LOOP EAST DR STE 103, INDIANAPOLIS, IN 46216-2314
(317) 207-0234
Mailing address
5719 LAWTON LOOP EAST DR STE 103, INDIANAPOLIS, IN 46216-2314
(317) 207-0234
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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