Cg-Dsa, LLC
Intermediate Care Facility, Intellectual Disabilities in Greenfield, IN. Organization (NPI-2).
NPI number1336722883
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1336722883
- Entity type
- Organization (NPI-2)
- Legal business name
- Cg-Dsa, LLC
- Organization subpart
- Yes
- Enumeration date
- May 3, 2021
- Certification date
- May 3, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
740 Oak BlvdGreenfield, IN 46140-1459
Phone 317-477-0093
Mailing address
4800 Overton Plz Ste 440Fort Worth, TX 76109-4435
Phone 800-299-5161 · Fax 817-447-3033
Authorized official
Anna Todd
Operations Business Manager
8002995161
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