| NPI | 1811760176 |
|---|---|
| Doing Business As | K&R GLOWING PRIDE RESIDENTIAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEYANA L RICE CEO 317-517-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |