Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRICA BUTLER
Active Sole ProprietorJERRICA BUTLER is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in GARY, Indiana. NPI 1952710626 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · GARY, IN
Registration Details
- NPI Number
- 1952710626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2014 (12.053465451119 yrs)
- Last Updated
- Aug 7, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 W 6TH AVEGARY, IN, 464021711Browse IN providers · Browse ZIP 46402
- Phone
- 2198854264
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.