Organization
EMPOWER GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEAN TABOR (CEO)
(317) 615-0036
Entity
Organization
Contact information
Practice address
100 IVY CREEK DR, RICHMOND, KY 40475-6021
(317) 615-0036
Mailing address
100 IVY CREEK DR, RICHMOND, KY 40475-6021
(317) 615-0036
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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