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1346496957
MAKE SUPPORTIVE LIVING, LLC
INDIANAPOLIS, IN
NPI
1346496957
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Entity Type
Organization
Authorized Contact
TAMARA NICOLE MIXON
President/CEO
317-724-8778
Organization Subpart ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2008-08-14
Last Update Date
2008-08-14
Business Address
MAKE SUPPORTIVE LIVING, LLC
1639 N PARK AVE
INDIANAPOLIS, IN 46202-1720
Phone number: 317-724-8778
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Mailing Address
MAKE SUPPORTIVE LIVING, LLC
P.O BOX 88492
INDIANAPOLIS, IN 46208-0492
Phone number: 317-724-8778
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