Organization
ASSURANCE HEALTH INDIANAPOLIS, LLC
Active
Organization
ASSURANCE HEALTH INDIANAPOLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS D LONG PHD (OWNER)
(317) 870-1396
Entity
Organization
Contact information
Practice address
900 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46214-3759
(317) 982-3715
(317) 481-0547
Mailing address
8465 KEYSTONE XING, SUITE 210, INDIANAPOLIS, IN 46240-4355
(317) 870-1396
(317) 757-8491
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1749-1-PIP
STATE LICENSE
IN
Enumeration date
06/13/2016
Last updated
08/30/2019
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