Organization
BIDETS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUNMI SUSAN RAJI (VICE PRESIDENT/PROGRAM DIRECTOR)
(317) 985-6044
Entity
Organization
Contact information
Practice address
4215 W 86TH ST STE F, INDIANAPOLIS, IN 46268-1742
(463) 206-2806
(463) 206-2825
Mailing address
4215 W 86TH ST STE F, INDIANAPOLIS, IN 46268-1742
(463) 206-2806
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053782
—
IN
05
—
300066489
—
IN
Enumeration date
11/28/2022
Last updated
12/04/2022
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