Organization
L.A.S.E.R. PROJECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE THOMAS JR. (DIRECTOR)
(317) 900-2803
Entity
Organization
Contact information
Practice address
6433 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6677
(317) 900-2803
Mailing address
9264 DUNWOODY LN, INDIANAPOLIS, IN 46229-1016
(317) 900-2803
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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