Organization · Type 2 NPI

Indiana Developmental Training Center of Lafayette LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lafayette, IN

NPI number 1114056074 Active

Practice location

3700 Rome Drive
Lafayette, IN 47905

Fax (765) 488-4217

Mailing address

PO Box 278
Dousman, WI 53118

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1114056074

Indiana Developmental Training Center of Lafayette LLC's National Provider Identifier is 1114056074, issued on Mar 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lafayette, IN. The record was last updated on Aug 22, 2020.