IndividualActive
Demetrius Whitehead, LPN
NPI 1346880341 · Physical Disabilities Residential Treatment Facility · Indianapolis, IN
Provider details
- NPI number
- 1346880341
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 27060564A (IN)
Mailing address
415 S Butler Ave
Indianapolis, IN 46219-7034
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.