IndividualActive
Detra Reynolds-Todd
NPI 1477299691 · Child Intellectual and/or Developmental Disabilities Respite Care · Avon, IN
Provider details
- NPI number
- 1477299691
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
9770 Jackson Way
Avon, IN 46123-9588
Phone: (317) 728-4239
Approximate (ZIP-level) locationGet directions
Mailing address
941 E Raymond St
Indianapolis, IN 46203-3919
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.