ANGELA BEAVER

INDIANAPOLIS, IN
NPI1558488510
Former NameANGELA LIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IN  31004126a)
Additional Taxonomies286500000X Military Hospital
(Licence: IN  31004126a)
Enumeration Date2007-03-23
Last Update Date2014-07-16
Business Address
Mrs. ANGELA BEAVER OTR
5300 W 96TH ST
INDIANAPOLIS, IN 46268-3905
Phone number: 317-873-8252
Mailing Address
Mrs. ANGELA BEAVER OTR
5715 PORTWOOD PL
INDIANAPOLIS, IN 46254-5143
Phone number: 317-460-5146