Individual
QUENTESSA ANISHA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSP
Contact information
Practice address
1040 N DELAWARE ST STE 303, INDIANAPOLIS, IN 46202-4090
(317) 801-1100
Mailing address
10135 BROADMEADOW DR, INDIANAPOLIS, IN 46239-9775
(317) 801-1100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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