MEDICARE: CHRISTEL HOUSE ACADEMY

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	251300000X	Local Education Agency (LEA)		IN

General Provider Information

NPI Number	:	1598804775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTEL HOUSE ACADEMY

Provider Business Mailing Address
First Line	:	2717 S EAST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2104
Country	:	US
Telephone Number	:	317-783-4690
Fax Number	:	317-783-4693

Provider Business Practice Location Address
First Line	:	2717 S EAST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2104
Country	:	US
Telephone Number	:	317-783-4690
Fax Number	:	317-783-4693

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MR. CAREY DAHNCKE
Credential	:
Telephone Number	:	317-783-4690

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/22/2020

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Directions to “CHRISTEL HOUSE ACADEMY ” Practice Location

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