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Organization

TANGRAM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE DILLMAN (PRESIDENT/CEO)
(317) 968-9024
Entity
Organization

Contact information

Practice address
5155 PENNWOOD DR, INDIANAPOLIS, IN 46205-1585
(317) 571-1042
(317) 571-1043
Mailing address
5155 PENNWOOD DR, INDIANAPOLIS, IN 46205-1585
(317) 571-1042
(317) 571-1043

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251E00000X
Home Health Agency
060065951
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100450620
IN
Enumeration date
05/19/2006
Last updated
04/11/2025
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