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Search › Indiana › Physical Disabilities Residential Treatment Facility

Demetrius Whitehead, LPN

NPI 1346880341 · on the registry since 2020 · sole proprietor

Practice

Address
415 S Butler Ave
Indianapolis, IN 46219
Phone
(317) 499-0437

Registry record

Primary taxonomy
Physical Disabilities Residential Treatment Facility
320700000X
Also registered as
Licensed Practical Nurse
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana