Organization
NATIONAL MENTOR HEALTHCARE LLC
Active
Organization
NATIONAL MENTOR HEALTHCARE LLC
Active
Other names
Indiana MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HECKELSBERG RICHEY MA (NEW SERVICES PROGRAM SUPERVISOR)
(317) 581-2380
Entity
Organization
Contact information
Practice address
8925 N MERIDIAN ST, STE. 250, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2387
Mailing address
8925 N MERIDIAN ST, STE. 250, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2387
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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