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National Mentor Healthcare Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan City, Indiana
NPI 1902115645

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 Michigan City, IN. The NPI Number for National Mentor Healthcare Llc is 1902115645 and holds a License No. (Indiana).

The current practice location address for National Mentor Healthcare Llc is 214 Broadway St, Michigan City, IN and can be reached out via phone at 317-581-2380.

Location: 214 Broadway St, Michigan City, IN, 02210-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902115645
Provider Name
National Mentor Healthcare Llc
Credential
Provider Entity Type
Organization
Address
214 Broadway St, Michigan City, 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
200193830U 01 IN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
214 Broadway St
City
Michigan City
State
Indiana
Zip
46360-5009
Phone Number
317-581-2380
Fax Number
person
Provider Business Mailing Address Details
Address
214 Broadway St
City
Michigan City
State
Indiana
Zip
46360-5009
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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