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Cg-dsa, Llc
Mental Illness Intermediate Care Facility in Angola, Indiana
NPI 1720721707

Cg-dsa, Llc is a Mental Illness Intermediate Care Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Angola, IN. The NPI Number for Cg-dsa, Llc is 1720721707 and holds a License No. (Indiana).

The current practice location address for Cg-dsa, Llc is 1102 W Mill St, Angola, IN and can be reached out via phone at 260-833-4208.

Location: 1102 W Mill St, Angola, IN, 76109-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720721707
Provider Name
Cg-dsa, Llc
Credential
Provider Entity Type
Organization
Address
1102 W Mill St, Angola, IN, 76109-4435
Phone Number
260-833-4208
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1102 W Mill St
City
Angola
State
Indiana
Zip
46703-1344
Phone Number
260-833-4208
Fax Number
person
Provider Business Mailing Address Details
Address
1102 W Mill St
City
Angola
State
Indiana
Zip
46703-1344
Phone Number
260-833-4208
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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