Identity Outreach Program Corp
Identity Outreach Program Corp is a Case Management Agency in Indianapolis, Indiana. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7098 N Shadeland Ave Ste FIndianapolis, IN 46220-4275
Phone: (317) 771-3006
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1043928187 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jasmine Tucker — Ceo/Founder · (317) 771-3006 |
| NPI enumerated | November 8, 2022 |
| Last updated in NPPES | March 12, 2023 |
| Certification date | March 12, 2023 |
| Mailing address | 7098 N Shadeland Ave Ste F, Indianapolis, IN 46220-4275 |
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