Individual
FREDDIE PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10021 SUNDLEY DR, INDIANAPOLIS, IN 46239-9057
(317) 448-3906
Mailing address
10021 SUNDLEY DR, INDIANAPOLIS, IN 46239-9057
(317) 448-3906
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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