Organization
MSD OF DECATUR TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA B WATKINS (DIRECTOR OF EXCEPTIONAL LEARNERS)
(317) 856-5265
Entity
Organization
Contact information
Practice address
5275 KENTUCKY AVE, INDIANAPOLIS, IN 46221-3616
(317) 856-5265
Mailing address
5275 KENTUCKY AVE, INDIANAPOLIS, IN 46221-3616
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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