Organization
WARNER TRANSITIONAL SERVICES LLC
Active
Parent organization
OCONOMOWOC RESIDENTIAL PROGRAMS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCONOMOWOC RESIDENTIAL PROGRAMS INC.
Authorized official
MR. MICHAEL B FLORES (EXECUTIVE DIRECTOR)
(317) 815-0505
Entity
Organization
Contact information
Practice address
11075 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46280-1091
(317) 815-0505
Mailing address
11075 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46280-1091
(317) 815-0505
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
IN
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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