Individual
PATTY YVONNE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 ELI DR, ANTIOCH, TN 37013-2881
(317) 362-2542
Mailing address
6301 ELI DR, ANTIOCH, TN 37013-2881
(815) 618-8986
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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