Provider Demographics
NPI:1477994275
Name:JEWISH FEDERATION OF GREATER INDIANAPOLIS/ALBERT & SARA REUBEN SENIOR
Entity Type:Organization
Organization Name:JEWISH FEDERATION OF GREATER INDIANAPOLIS/ALBERT & SARA REUBEN SENIOR
Other - Org Name:ALBERT & SARA REUBEN SENIOR AND COMMUNITY RESOURCE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:REUBEN CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, LCSW
Authorized Official - Phone:317-259-6824
Mailing Address - Street 1:6905 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-4124
Mailing Address - Country:US
Mailing Address - Phone:317-259-6824
Mailing Address - Fax:
Practice Address - Street 1:6905 HOOVER RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-4124
Practice Address - Country:US
Practice Address - Phone:317-259-6824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management