Organization
RADIANT LEGACY GROUP LLC
Active
Other names
ICare2
Organization subpart
No
Provider details
NPI number
Authorized official
TENIKA PIEPER (AUTHORIZED OFFICER, OWNER)
(469) 360-0998
Entity
Organization
Contact information
Practice address
6863 STARKEY RIDGE LN, INDIANAPOLIS, IN 46268-2782
(469) 360-0998
Mailing address
6863 STARKEY RIDGE LN, INDIANAPOLIS, IN 46268-2782
(469) 360-0998
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/30/2025
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