institution
Cg-dsa, Llc
Intellectual Disabilities Intermediate Care Facility in Lebanon, Indiana
NPI 1205401452

Cg-dsa, Llc is a Intellectual Disabilities Intermediate Care Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Lebanon, IN. The NPI Number for Cg-dsa, Llc is 1205401452 and holds a License No. (Indiana).

The current practice location address for Cg-dsa, Llc is 1275 Middle Jamestown Rd, Lebanon, IN and can be reached out via phone at 765-361-1950.

Location: 1275 Middle Jamestown Rd, Lebanon, IN, 76109-4435
institution
Provider Profile Details
NPI Number
1205401452
Provider Name
Cg-dsa, Llc
Credential
Provider Entity Type
Organization
Address
1275 Middle Jamestown Rd, Lebanon, IN, 76109-4435
Phone Number
765-361-1950
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1275 Middle Jamestown Rd
City
State
Zip
46052-9404
Phone Number
765-361-1950
Fax Number
person
Provider Business Mailing Address Details
Address
1275 Middle Jamestown Rd
City
State
Zip
46052-9404
Phone Number
765-361-1950
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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