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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