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Heather Carroll, COTA
Assisted Living Facility (Mental Illness) in Granger, Indiana
NPI 1346649688

Heather Carroll is an Assisted Living Facility (Mental Illness) based in South Bend, IN and is specialized in Assisted Living, Mental Illness. Heather Carroll practices in Granger, IN and has the professional credentials of COTA. The NPI Number for Heather Carroll is 1346649688 and holds a License No. (Indiana).

The current practice location address for Heather Carroll is 430 E Cleveland Rd, Granger, IN and can be reached out via phone at 574-271-3305.

Location: 430 E Cleveland Rd, Granger, IN, 46614-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346649688
Provider Name
Heather Carroll
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
430 E Cleveland Rd, Granger, IN, 46614-5513
Phone Number
574-271-3305
Fax Number
Provider Enumeration Date
08/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32001597A 01 IN COTA
institution
Provider Business Practice Location Address Details
Address
430 E Cleveland Rd
City
Granger
State
Indiana
Zip
46530-5624
Phone Number
574-271-3305
Fax Number
person
Provider Business Mailing Address Details
Address
430 E Cleveland Rd
City
Granger
State
Indiana
Zip
46530-5624
Phone Number
574-271-3305
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
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Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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