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DEMETRIUS WHITEHEAD, LPN

LPN

Physical Disabilities Residential Treatment Facility

NPI: 1346880341Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Licensed Practical Nurse

Code: 164W00000X

27060564A(IN)
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

21015321(IN)
Physical Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

21015321(IN)

Contact & Hours

Address
415 S BUTLER AVE
INDIANAPOLIS, IN 46219

Quick Facts

NPI
1346880341
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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