| NPI | 1053621169 |
|---|---|
| Doing Business As | INDIANA MENTOR ADULT FOSTER CARE |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-03-04 |