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Organization

QUINTON RESIDENTIAL LIVING

Active
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Organization

QUINTON RESIDENTIAL LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIAH YAMOBI (VICE PRESIDENT)
(317) 591-0625
Entity
Organization

Contact information

Practice address
2511 E 46TH ST, SUITE J-3, INDIANAPOLIS, IN 46205-2460
(317) 591-0625
(317) 591-0628
Mailing address
2511 E 46TH ST, SUITE J-3, INDIANAPOLIS, IN 46205-2460
(317) 591-0625
(317) 591-0628

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
IN

Other

Enumeration date
12/21/2006
Last updated
08/22/2020
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