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Jay-randolph Developmental Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Portland, Indiana
NPI 1831143478

Jay-randolph Developmental Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Portland, IN. Jay-randolph Developmental Services, Inc. practices in Portland, IN. The NPI Number for Jay-randolph Developmental Services, Inc. is 1831143478 and holds a License No. 2623I0005JN06 (Indiana).

The current practice location address for Jay-randolph Developmental Services, Inc. is 901 E Water St, Portland, IN and can be reached out via phone at 260-726-7931 and via fax at 260-726-8184.

Location: 901 E Water St, Portland, IN, 47371-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831143478
Provider Name
Jay-randolph Developmental Services, Inc.
Credential
Provider Entity Type
Organization
Address
901 E Water St, Portland, IN, 47371-2038
Phone Number
260-726-7931
Fax Number
260-726-8184
Provider Enumeration Date
05/19/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
901 E Water St
City
Portland
State
Indiana
Zip
47371-2038
Phone Number
260-726-7931
Fax Number
260-726-8184
person
Provider Business Mailing Address Details
Address
901 E Water St
City
Portland
State
Indiana
Zip
47371-2038
Phone Number
260-726-7931
Fax Number
260-726-8184
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2623I0005JN06 (Indiana)
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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