Organization
FAITHFUL SENIORCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MICHELLE CHASTEEN (EXECUTIVE DIRECTOR)
(317) 250-5366
Entity
Organization
Contact information
Practice address
3670 WESTERN AVE, CONNERSVILLE, IN 47331-3428
(317) 250-5366
Mailing address
PO BOX 95, CONNERSVILLE, IN 47331-0095
(317) 250-5366
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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