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Organization

ACCESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID A TILLISON (DIRECTOR)
(317) 728-1372
Entity
Organization

Contact information

Practice address
7437 SHARZAD PL, INDIANAPOLIS, IN 46227-5432
(317) 728-1372
Mailing address
7437 SHARZAD PL, INDIANAPOLIS, IN 46227-5432
(317) 728-1372

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
02/27/2008
Last updated
07/24/2008
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