Organization
PURPOSE SHARED HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYANA CARPENTER (DIRECTOR)
(317) 653-6665
Entity
Organization
Contact information
Practice address
741 W 26TH ST, INDIANAPOLIS, IN 46208-5505
(317) 653-6665
Mailing address
7640 HORSETAIL DR APT H, INDIANAPOLIS, IN 46260-4597
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251T00000X
PACE Provider Organization
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
310400000X
Assisted Living Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/09/2024
Last updated
02/15/2024
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