Organization
RETRO HOME HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANDREA CHERRY (CHIEF EXECUTIVE OFFICER)
(317) 270-7117
Entity
Organization
Contact information
Practice address
4084 PENDLETON WAY, PMB 172, INDIANAPOLIS, IN 46226-5224
(317) 270-7117
(317) 869-0982
Mailing address
4084 PENDLETON WAY, PMB 172, INDIANAPOLIS, IN 46226-5224
(317) 270-7117
(317) 869-0982
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25100000X
—
IN
Enumeration date
08/21/2007
Last updated
08/21/2007
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