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Cg-dsa, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Shelbyville, Indiana
NPI 1962438671

Cg-dsa, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Shelbyville, IN. The NPI Number for Cg-dsa, Llc is 1962438671 and holds a License No. (Indiana).

The current practice location address for Cg-dsa, Llc is 2326 Berwick Drive, Shelbyville, IN and can be reached out via phone at 317-477-0093 and via fax at 317-348-3430.

Location: 2326 Berwick Drive, Shelbyville, IN, 76109-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962438671
Provider Name
Cg-dsa, Llc
Credential
Provider Entity Type
Organization
Address
2326 Berwick Drive, Shelbyville, IN, 76109-4435
Phone Number
317-477-0093
Fax Number
317-348-3430
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100234640C 05 IN
institution
Provider Business Practice Location Address Details
Address
2326 Berwick Drive
City
Shelbyville
State
Indiana
Zip
46176-3125
Phone Number
317-477-0093
Fax Number
317-348-3430
person
Provider Business Mailing Address Details
Address
2326 Berwick Drive
City
Shelbyville
State
Indiana
Zip
46176-3125
Phone Number
317-477-0093
Fax Number
317-348-3430
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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