Individual
CLOVIS NDAYISHIMIYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5139 CLIMBING ROSE PL, INDIANAPOLIS, IN 46254-7047
(371) 772-6813
Mailing address
5139 CLIMBING ROSE PL, INDIANAPOLIS, IN 46254-7047
(371) 772-6813
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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