Healthcare Provider Details
I. General information
NPI: 1669100574
Provider Name (Legal Business Name): TOGETHER EMPLOYABILITY AIMS FOR MORE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2022
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10294 E 96TH ST
FISHERS IN
46037-9497
US
IV. Provider business mailing address
10294 E 96TH ST
FISHERS IN
46037-9497
US
V. Phone/Fax
- Phone: 317-418-2664
- Fax: 317-284-1765
- Phone: 317-418-2664
- Fax: 317-284-1765
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
KING
Title or Position: PRESIDENT
Credential:
Phone: 317-418-2664