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National Mentor Healthcare, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peru, Indiana
NPI 1801105549

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 Peru, IN. The NPI Number for National Mentor Healthcare, Llc is 1801105549 and holds a License No. (Indiana).

The current practice location address for National Mentor Healthcare, Llc is 56 S Wabash St, Peru, IN and can be reached out via phone at 317-581-2380.

Location: 56 S Wabash St, Peru, IN, 02210-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801105549
Provider Name
National Mentor Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
56 S Wabash St, Peru, IN, 02210-1218
Phone Number
317-581-2380
Fax Number
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200943350K 01 IN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
56 S Wabash St
City
Peru
State
Indiana
Zip
46970-2207
Phone Number
317-581-2380
Fax Number
person
Provider Business Mailing Address Details
Address
56 S Wabash St
City
Peru
State
Indiana
Zip
46970-2207
Phone Number
317-581-2380
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
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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