Organization
OPEN DOOR EQUINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SHELEY (PRESIDENT)
(317) 416-8632
Entity
Organization
Contact information
Practice address
5129 N 600 W, MC CORDSVILLE, IN 46055-9511
(317) 416-8632
Mailing address
5692 N JEFFERSON DR, MC CORDSVILLE, IN 46055-9694
(317) 416-8632
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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