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Alyncia Bonner
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gary, Indiana
NPI 1063880789

Alyncia Bonner is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gary, IN. Alyncia Bonner practices in Gary, IN. The NPI Number for Alyncia Bonner is 1063880789 and holds a License No. (Indiana).

The current practice location address for Alyncia Bonner is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264. You can also correspond with Alyncia Bonner through the mailing address at 1100 W 6TH AVE, GARY, IN - 46402-1711 (mailing address contact number: 219-885-4264).

Location: 1100 W 6Th Ave, Gary, IN, 46402-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063880789
Provider Name
Alyncia Bonner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 46402-1711
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
09/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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