Mr. Roger Lee Higgins JR. - Indianapolis, IN

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.

Location: 6104 W Lake South Dr, Indianapolis, IN, 46224-7647

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

Address

6104 W Lake South Dr

City

Indianapolis

State

Indiana

Zip

46224-7647

Phone Number

317-603-2694

Fax Number

Address

6104 W Lake South Dr

City

Indianapolis

State

Indiana

Zip

46224-7647

Phone Number

317-603-2694

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

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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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