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Wheatfield Residential Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Wheatfield, Indiana
NPI 1720763006

Wheatfield Residential Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fort Wayne, IN. Wheatfield Residential Llc practices in Wheatfield, IN. The NPI Number for Wheatfield Residential Llc is 1720763006 and holds a License No. (Indiana).

The current practice location address for Wheatfield Residential Llc is 12501 In-49, Wheatfield, IN and can be reached out via phone at 219-235-9777.

Location: 12501 In-49, Wheatfield, IN, 46804-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720763006
Provider Name
Wheatfield Residential Llc
Credential
Provider Entity Type
Organization
Address
12501 In-49, Wheatfield, IN, 46804-1208
Phone Number
219-235-9777
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12501 In-49
City
Wheatfield
State
Indiana
Zip
46392
Phone Number
219-235-9777
Fax Number
person
Provider Business Mailing Address Details
Address
12501 In-49
City
Wheatfield
State
Indiana
Zip
46392
Phone Number
219-235-9777
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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