Organization
GENTLERISE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MUSABWA (CHIEF OPERATING OFFICER)
(207) 572-0895
Entity
Organization
Contact information
Practice address
12402 COOL WINDS WAY, FISHERS, IN 46037-4471
(207) 572-0895
Mailing address
12402 COOL WINDS WAY, FISHERS, IN 46037-4471
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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