person
Mr. Roger Lee Higgins JR.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indianapolis, Indiana
NPI 1750538427

Roger Lee Higgins JR. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Indianapolis, IN. Roger Lee Higgins JR. practices in Indianapolis, IN. The NPI Number for Roger Lee Higgins JR. is 1750538427 and holds a License No. (Indiana).

The current practice location address for Roger Lee Higgins JR. is 6104 W Lake South Dr, Indianapolis, IN and can be reached out via phone at 317-603-2694. You can also correspond with Roger Lee Higgins JR. through the mailing address at 6104 W LAKE SOUTH DR, INDIANAPOLIS, IN - 46224-7647 (mailing address contact number: 317-603-2694).

Location: 6104 W Lake South Dr, Indianapolis, IN, 46224-7647
person
Provider Profile Details
NPI Number
1750538427
Provider Name
Roger Lee Higgins JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6104 W Lake South Dr, Indianapolis, IN, 46224-7647
Phone Number
317-603-2694
Fax Number
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6104 W Lake South Dr
City
State
Zip
46224-7647
Phone Number
317-603-2694
Fax Number
person
Provider Business Mailing Address Details
Address
6104 W Lake South Dr
City
State
Zip
46224-7647
Phone Number
317-603-2694
Fax Number
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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