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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Intellectual Disabilities Residential Treatment Facility · GOSHEN, IN

Registration Details

NPI Number
1871717223
Provider Type
Organization
NPI Issued
Apr 13, 2007 (19.023786435734 yrs)
Last Updated
Aug 22, 2020
License
2670I0011DE08 (IN)

Practice Information

Address
1717 LONGWOOD CT
GOSHEN, IN, 465261469
Browse IN providers · Browse ZIP 46526
Phone
5748487451
Fax
5748485917

Other Intellectual Disabilities Residential Treatment Facility Organizations in GOSHEN, IN

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.