MEDICARE: ALLIANCE ADULT DAY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311Z00000X	Custodial Care Facility		IN

General Provider Information

NPI Number	:	1386691277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE ADULT DAY SERVICES

Provider Business Mailing Address
First Line	:	9615 N COLLEGE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46280-1627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9615 N COLLEGE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46280-1627
Country	:	US
Telephone Number	:	317-581-1100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JANICE ROBERTS
Credential	:
Telephone Number	:	317-581-1100

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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