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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1104626829Organization
Specialties, Licenses & Credentials
Intermediate Care Facility, Intellectual Disabilities
Code: 315P00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
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Contact & Hours
- Address
- 2829 PARKER LN
LAFAYETTE, IN 47909 - Phone
- (765) 715-7859
Quick Facts
- NPI
- 1104626829
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 5
- Locations
- 1
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