MEDICARE: TINDLEY ACCELERATED SCHOOLS, INC

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)	9430	IN

General Provider Information

NPI Number	:	1659818797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINDLEY ACCELERATED SCHOOLS, INC

Provider Business Mailing Address
First Line	:	3960 MEADOWS DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-3114
Country	:	US
Telephone Number	:	317-545-1745
Fax Number	:	317-547-4323

Provider Business Practice Location Address
First Line	:	4002 N FRANKLIN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-5297
Country	:	US
Telephone Number	:	317-777-6830
Fax Number	:	844-273-2820

Authorized Official
Title or Position	:	CEO
Name	:	MRS. KELLI B MARSHALL
Credential	:
Telephone Number	:	317-545-1745

Provider Enumeration Date	:	01/27/2017
Last Update Date	:	01/27/2017

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