Organization
JOHN H. BONER COMMUNITY CENTER
Active
Other names
Elder Alternative Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TAYLOR (EXECUTIVE DIRECTOR)
(317) 633-8210
Entity
Organization
Contact information
Practice address
2236 E 10TH ST, INDIANAPOLIS, IN 46201-2006
(317) 633-8210
(317) 633-3006
Mailing address
2236 E 10TH ST, INDIANAPOLIS, IN 46201-2006
(317) 633-8210
(317) 633-3006
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108120
—
IN
Enumeration date
03/09/2007
Last updated
08/12/2008
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