institution
National Mentor Healthcare, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gary, Indiana
NPI 1720237928

National Mentor Healthcare, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Boston, IN. National Mentor Healthcare, Llc practices in Gary, IN. The NPI Number for National Mentor Healthcare, Llc is 1720237928 and holds a License No. (Indiana).

The current practice location address for National Mentor Healthcare, Llc is 3528 Fillmore St, Gary, IN and can be reached out via phone at 317-581-2380 and via fax at 317-581-2378. You can also correspond with National Mentor Healthcare, Llc through the mailing address at 313 CONGRESS ST, BOSTON, MA - 02210-1218 (mailing address contact number: 800-388-5150).

Location: 3528 Fillmore St, Gary, IN, 02210-1218
institution
Provider Profile Details
NPI Number
1720237928
Provider Name
National Mentor Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
3528 Fillmore St, Gary, IN, 02210-1218
Phone Number
317-581-2380
Fax Number
317-581-2378
Provider Enumeration Date
09/11/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200193830 H 01 IN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3528 Fillmore St
City
State
Zip
46408-1542
Phone Number
317-581-2380
Fax Number
317-581-2378
person
Provider Business Mailing Address Details
Address
3528 Fillmore St
City
State
Zip
46408-1542
Phone Number
317-581-2380
Fax Number
317-581-2378
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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