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Cg-dsa, Llc
Intellectual Disabilities Intermediate Care Facility in Angola, Indiana
NPI 1801534177

Cg-dsa, Llc is a Intellectual Disabilities Intermediate Care Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Angola, IN. The NPI Number for Cg-dsa, Llc is 1801534177 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
1801534177
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
05/25/2022
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, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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