Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY-RANDOLPH DEVELOPMENTAL SERVICES, INC.
Active OrganizationICF/Individuals with Intellectual Disabilities · PORTLAND, IN
Registration Details
- NPI Number
- 1831143478
- Provider Type
- Organization
- NPI Issued
- May 19, 2006 (19.925926921389 yrs)
- Last Updated
- Aug 22, 2020
- Licenses
-
2623I0004JN07 (IN)2623B0006JN06 (IN)2623T0003JN07 (IN)2623I0005JN06 (IN)
Practice Information
- Address
-
901 E WATER STPORTLAND, IN, 473712038Browse IN providers · Browse ZIP 47371
- Phone
- 2607267931
- Fax
- 2607268184
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.