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Organization

STIMULI RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUNO O OKUJA QIDP (DIRECTOR)
(317) 722-9141
Entity
Organization

Contact information

Practice address
6670 KINNERTON DR, INDIANAPOLIS, IN 46254-5843
(317) 722-9142
Mailing address
6670 KINNERTON DR, INDIANAPOLIS, IN 46254-5843
(317) 722-9141

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
I
IL
Enumeration date
11/28/2018
Last updated
11/28/2018
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