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Bobby Tyus
NPI 1689403537 · on the registry since 2024
Practice
- Address
- 1855 Bauer Rd
Indianapolis, IN 46218 - Phone
- (317) 625-4130
- Organisation at this address
- A Village Of Love Residential Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Personal Care Attendant
3747P1801X
- Sex
- Male
- Record last updated
- 2024-07-30
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