Demetrius Whitehead, LPN
NPI #1346880341 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1346880341
- Entity Type
- Individual
- Name
- Demetrius Whitehead, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Credential
- LPN
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Feb 28, 2024
Practice Location
- Address
- 415 S BUTLER AVE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46219-7034
- Phone
- (317) 499-0437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Physical Disabilities |
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