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NPI Code Detail

MEDICARE: DAMAR SERVICES INC

MEDICARE: DAMAR SERVICES 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982714937
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAMAR SERVICES INC
Provider Business Mailing Address
First Line : 6067 DECATUR BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-9606
Country : US
Telephone Number : 317-856-5201
Fax Number : 317-856-2333
Provider Business Practice Location Address
First Line : 6067 DECATUR BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-9606
Country : US
Telephone Number : 317-856-5201
Fax Number : 317-856-2333
Authorized Official
Title or Position : CEO
Name : JIM L. DALTON
Credential :
Telephone Number : 317-281-4545
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/04/2020

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Directions to “DAMAR SERVICES INC ” Practice Location

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