Organization
VIRMONTIUM
Active
Organization
VIRMONTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HILLSMAN (OWNER)
(312) 450-5515
Entity
Organization
Contact information
Practice address
12220 POPLAR BEND BLVD, FISHERS, IN 46037-8307
(312) 450-5515
Mailing address
12220 POPLAR BEND BLVD, FISHERS, IN 46037-8307
(312) 450-5515
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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