NPI | 1255621561 |
---|---|
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 | 2011-04-08 |
Last Update Date | 2023-03-05 |