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Cg-dsa, Llc
Intellectual Disabilities Intermediate Care Facility in Shelbyville, Indiana
NPI 1821671371

Cg-dsa, Llc is a Intellectual Disabilities Intermediate Care Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Shelbyville, IN. The NPI Number for Cg-dsa, Llc is 1821671371 and holds a License No. (Indiana).

The current practice location address for Cg-dsa, Llc is 2326 Berwick Dr, Shelbyville, IN and can be reached out via phone at 317-477-0093.

Location: 2326 Berwick Dr, Shelbyville, IN, 76109-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821671371
Provider Name
Cg-dsa, Llc
Credential
Provider Entity Type
Organization
Address
2326 Berwick Dr, Shelbyville, IN, 76109-4435
Phone Number
317-477-0093
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2326 Berwick Dr
City
Shelbyville
State
Indiana
Zip
46176-3125
Phone Number
317-477-0093
Fax Number
person
Provider Business Mailing Address Details
Address
2326 Berwick Dr
City
Shelbyville
State
Indiana
Zip
46176-3125
Phone Number
317-477-0093
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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