Organization
RETRO HOME HEALTH CARE SERVICES,LLC
Active
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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