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Jerrica Butler
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gary, Indiana
NPI 1952710626

Jerrica Butler is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Gary, IN. Jerrica Butler practices in Gary, IN. The NPI Number for Jerrica Butler is 1952710626 and holds a License No. (Indiana).

The current practice location address for Jerrica Butler is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264.

Location: 1100 W 6Th Ave, Gary, IN, 46402-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952710626
Provider Name
Jerrica Butler
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 46402-1711
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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